Brighton, IL · Macoupin County
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
Download The Form
Download the Water and Sewer ACH Bank Draft Sign-Up Form PDF.
- 2
Complete The Form
Enter customer, service, contact, and financial institution information, then print the authorized name and sign and date.
- 3
Gather The Attachment
Include a voided check for Brighton Water & Sewer Department records.
- 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.
