Willowbrook, IL · DuPage County
Automatic Payment Authorization
Willowbrook water customers use this authorization form to enroll in automatic utility bill payments from a checking or savings account.
What this form is
This form authorizes the Village of Willowbrook to arrange payment of a water bill from the account provided on the form. Customers who choose automatic payment complete the authorization, attach a voided check or deposit ticket, and return both to the Water Department. The form also asks for contact, bank, and water account details and lets customers indicate whether they want paperless billing.
Who needs it
Willowbrook water customers who want their bill paid automatically from a checking or savings account can submit this authorization.
How to submit it
Return the completed form with a voided check or deposit ticket to the Village of Willowbrook, 835 Midway Dr., Willowbrook, IL 60527, Attn: Water Dept., or scan it to [email protected].
About notarization
This authorization is signed without a notary; attach a voided check or deposit ticket, and the signer signs the form.
How to submit this form
- 1
Download The Form
Download the Automatic Payment Authorization PDF.
- 2
Complete The Authorization
Provide your contact, bank, and water account details, sign the form, and indicate whether you want paperless billing.
- 3
Gather The Attachment
Attach a voided check or deposit ticket from your account.
- 4
Submit To The Water Department
Return the form and attachment to the Village at 835 Midway Dr. or scan them to [email protected].
Frequently asked questions
- Do I need a notary for the Automatic Payment Authorization?
- No. This authorization is signed without a notary. Attach a voided check or deposit ticket, and sign the form.
- How do I submit the Automatic Payment Authorization?
- Return the signed form with a voided check or deposit ticket to the Water Department at 835 Midway Dr., Willowbrook, IL 60527, or scan it to [email protected].
- What information does the authorization request?
- It asks for your name, address, phone, email, bank name and address, routing and account numbers, water account number, and signature.
- Can I request paperless billing on this form?
- Yes. The form asks whether you also wish to enroll in paperless billing, with yes and no options.
Need something notarized?
This Automatic Payment Authorization doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.