Do I need a notary for the Lakewood utility payment form?

No. The form has an authorized signature and date line but no notary block; sign and date it, and attach a voided check.

How do I submit the Lakewood utility payment form?

Submit it to the city department named on the form; check the city website for current contact details. The form must be received before the first day of the desired billing month.

What should I attach to the enrollment form?

Attach a voided check. The form says deposit slips will not be accepted and that investment and money market accounts are not eligible.

Which accounts can be used for automatic utility payments?

The form provides options for checking and savings accounts. It states that investment and money market accounts cannot be used.

Lakewood, IL · McHenry County

No notary required

Utility Billing Automatic Payment Enrollment

Lakewood utility customers use this enrollment form to authorize automatic bank-account debits for utility bill payments.

What this form is

This form authorizes the Village of Lakewood to debit a customer’s checking or savings account for utility payments. The completed form must be received before the first day of the desired billing month, and a voided check must be attached. The form asks for financial institution and account details, contact information, and an authorized signature and date.

Who needs it

Lakewood utility customers who want their bills paid automatically from an eligible checking or savings account should complete this form.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details. The completed form must be received before the first day of the desired billing month, with a voided check attached.

About notarization

This document is signed and dated without a notary; the signer just signs and dates the form and attaches a voided check.

How to submit this form

1
Download The Form
Download the Utility Billing Automatic Payment Enrollment form.
2
Complete The Form
Enter your financial institution and account details, contact information, and signature and date.
3
Attach A Voided Check
Attach a voided check; deposit slips are not accepted.
4
Submit To The City
Submit the completed form to the city department named on the form. It must be received before the first day of the desired billing month.

Frequently asked questions

Do I need a notary for the Lakewood utility payment form?: No. The form has an authorized signature and date line but no notary block; sign and date it, and attach a voided check.
How do I submit the Lakewood utility payment form?: Submit it to the city department named on the form; check the city website for current contact details. The form must be received before the first day of the desired billing month.
What should I attach to the enrollment form?: Attach a voided check. The form says deposit slips will not be accepted and that investment and money market accounts are not eligible.
Which accounts can be used for automatic utility payments?: The form provides options for checking and savings accounts. It states that investment and money market accounts cannot be used.

Need something notarized?

This Utility Billing Automatic Payment Enrollment doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.