What does the Direct Debit Authorization Form do?

It lets utility customers authorize the City of Paris to debit a checking or savings account for utility bills, or request a change or stop to automatic payments.

What should I attach to the form?

Attach a voided check for a checking account or a voided deposit slip for a savings account.

Paris, IL · Edgar County

No notary required

Direct Debit Authorization Form

Paris utility customers use this form to authorize, change, or stop automatic payments from a checking or savings account.

What this form is

This form authorizes the City of Paris to debit a customer’s checking or savings account for utility bills on the 10th of each month or the next business day. It asks for the utility account and service details, contact information, bank routing and account numbers, and a signature. Attach a voided check for checking or a voided deposit slip for savings, and mark whether the request is new, a change, or a stop.

Who needs it

Paris utility customers who want to start, change, or stop direct debit payments should complete this form.

How to submit it

Return the completed form directly to the City of Paris Finance Department at 206 S. Central Ave., Paris, Illinois 61944.

About notarization

This form is signed and dated without a notary; attach a voided deposit slip for savings or a voided check for checking.

How to submit this form

1
Download The Form
Download the Direct Debit Authorization Form for City of Paris utility payments.
2
Complete The Form
Fill in the utility account, contact, service, and bank details, sign and date it, and mark whether the request is new, a change, or a stop.
3
Gather The Attachment
Attach a voided check for checking or a voided deposit slip for savings.
4
Return The Form
Return the completed form to the City of Paris Finance Department at 206 S. Central Ave., Paris, Illinois 61944.

Frequently asked questions

What does the Direct Debit Authorization Form do?: It lets utility customers authorize the City of Paris to debit a checking or savings account for utility bills, or request a change or stop to automatic payments.
What should I attach to the form?: Attach a voided check for a checking account or a voided deposit slip for a savings account.
Do I need a notary for the Direct Debit Authorization Form?: No. The form is signed and dated without a notary; attach a voided deposit slip for savings or a voided check for checking.
How do I submit the Direct Debit Authorization Form?: Return it to the City of Paris Finance Department at 206 S. Central Ave., Paris, Illinois 61944.

Need something notarized?

This Direct Debit Authorization Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.