Weldon, IL · DeWitt County
E-Z Pay Authorization Form
Weldon water customers use this form to authorize monthly electronic water-bill payments from a checking or savings account.
What this form is
This form enrolls a Village of Weldon water customer in E-Z Pay, which automatically withdraws water-bill payments from a designated checking or savings account. It asks for the water account and service details, bank information, contact information, and the authorizing party’s signature and date. The form says to return it with a voided check; its introductory instructions also allow a savings-account deposit slip.
Who needs it
Weldon water customers who want to authorize automatic monthly payment from a checking or savings account should complete the form.
How to submit it
Send the completed form and a voided check to the Village of Weldon Water Department, P.O. Box 54, Weldon, IL 61882. The introductory instructions allow a savings-account deposit slip.
About notarization
This form is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the E-Z Pay Authorization Form.
- 2
Complete The Form
Enter your water account, service, bank, and contact details, then sign and date the authorization.
- 3
Gather An Attachment
Include a voided check; the introductory instructions also allow a savings-account deposit slip.
- 4
Submit To The Water Department
Mail the completed form and attachment to the Village of Weldon Water Department, P.O. Box 54, Weldon, IL 61882.
Frequently asked questions
- What does the E-Z Pay Authorization Form do?
- It authorizes the Village of Weldon to withdraw water-bill payments monthly from the checking or savings account identified on the form.
- What should I include with the form?
- The form says to send a voided check. Its introductory instructions also say customers using a savings account may send a deposit slip.
- Do I need a notary for the E-Z Pay Authorization Form?
- No. This form is signed and dated without a notary; the signer just signs and dates it.
- How do I submit the E-Z Pay Authorization Form?
- Send the completed form and a voided check to the Village of Weldon Water Department, P.O. Box 54, Weldon, IL 61882. The introductory instructions allow a savings-account deposit slip.