Brighton, IL · Macoupin County

No notary required

Water and Sewer ACH Bank Draft Sign-Up Form

Brighton water and sewer customers use this form to authorize automatic utility payments from a checking or savings account.

What this form is

This form authorizes the Brighton Municipal Water & Sewer Department to deduct utility payments from a bank account by electronic fund transfer. Customers provide their service and contact details, bank information, and authorization; the form also asks for a voided check for department records. It includes a way to revoke the authorization by sending written notification to the department.

Who needs it

Brighton water and sewer customers who want utility payments drafted automatically from a checking or savings account need this form.

How to submit it

The form names the Brighton Municipal Water & Sewer Department at 206 S. Main Street, Brighton, IL 62012, and lists phone number (618) 372-8484. Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed and dated without a notary; include a voided check for department records, and no sworn or notarized attachment is mentioned.

How to submit this form

  1. 1

    Download The Form

    Download the Water and Sewer ACH Bank Draft Sign-Up Form PDF.

  2. 2

    Complete The Form

    Enter customer, service, contact, and financial institution information, then print the authorized name and sign and date.

  3. 3

    Gather The Attachment

    Include a voided check for Brighton Water & Sewer Department records.

  4. 4

    Submit To The Department

    Submit the completed form to the Brighton Municipal Water & Sewer Department; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Water and Sewer ACH Bank Draft Sign-Up Form?
No. Sign and date the form without a notary. Include a voided check for department records; the form does not mention a sworn or notarized attachment.
How do I submit the water and sewer bank draft form?
The form names the Brighton Municipal Water & Sewer Department at 206 S. Main Street, Brighton, IL 62012. Check the city website for current contact details.
What information does the form ask for?
It asks for customer and service details, email and phone, bank name and routing number, account name, account type, and account number.
What attachment does the form require?
The signer certifies that they are providing a voided check for Brighton Water & Sewer Department records.

Need something notarized?

This Water and Sewer ACH Bank Draft Sign-Up Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.