Willow Springs, IL · Cook County
Utility Bill Direct Debit Authorization
Willow Springs utility customers use this form to authorize automatic deductions from a bank account for sewer and refuse bill payments.
What this form is
This authorization lets the Village of Willow Springs and the named financial institution begin automatic deductions for utility bill payments. The form says withdrawals occur every two months on the bill’s due date and asks for financial institution and account details, customer contact and service information, and a signature and date. Attach a voided check as instructed; written notice is required to end or change the authorization.
Who needs it
Willow Springs utility customers who want to pay sewer and refuse bills by automatic bank-account withdrawal should complete this authorization.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This document is signed and dated without a notary; attach a voided check, and the form does not say that attachment must be notarized or sworn.
How to submit this form
- 1
Download The Form
Download the Utility Bill Direct Debit Authorization PDF.
- 2
Complete The Form
Enter your bank and account details, customer information, and Village account number, then sign and date the authorization.
- 3
Attach A Voided Check
Include a voided check as requested on the form.
- 4
Submit To The City
Submit the completed form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the Utility Bill Direct Debit Authorization?
- No. The form calls for a signature and date, not notarization. It also asks you to attach a voided check, but does not say that the check or attachment must be notarized or sworn.
- How do I submit the Utility Bill Direct Debit Authorization?
- Submit it to the city department named on the form; check the city website for current contact details.
- What information does the direct debit form ask for?
- It asks for your financial institution and bank account details, checking or savings account selection, name, service and billing addresses, phone number, Village account number, signature, and date.
- What attachment does the form request?
- The form asks you to attach a voided check. It does not specify another attachment.
Need something notarized?
This Utility Bill Direct Debit Authorization doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.