Richmond, IL · McHenry County

No notary required

Utility Bill Direct Pay Authorization

Richmond water customers use this application to authorize automatic payments from a checking or savings account on their water bill’s due date.

What this form is

This application enrolls a customer in the Village of Richmond’s Direct Pay program, which automatically deducts water payments from a checking or savings account on the bill’s due date. To enroll, customers provide account and contact details, bank information, and an authorized signature, and attach a voided check. The form also explains enrollment setup, payment records, stop payments, and how to end Direct Pay.

Who needs it

Richmond water customers who want payments automatically deducted from a checking or savings account use this application to enroll in Direct Pay.

How to submit it

Return the completed application with a voided check by mail to 5600 Hunter Drive, Richmond, IL 60071; in person to Village Hall’s front drop box; or by email to [email protected].

About notarization

This authorization is signed without a notary; the form requests a voided check but no notarized attachment or sworn step, so the signer provides an authorized signature.

How to submit this form

  1. 1

    Download The Application

    Download the Utility Bill Direct Pay Authorization.

  2. 2

    Complete The Form

    Enter your customer, utility account, contact, and financial institution information, then provide an authorized signature.

  3. 3

    Attach A Voided Check

    Include a voided check with the completed application.

  4. 4

    Submit To The Village

    Mail it to 5600 Hunter Drive, Richmond, IL 60071; use Village Hall’s front drop box; or email [email protected].

Frequently asked questions

What does the Utility Bill Direct Pay Authorization do?
It authorizes the Village of Richmond to automatically deduct water payments from a designated checking or savings account on the water bill’s due date.
What do I need to include with the application?
Complete the customer, utility account, contact, and bank information, provide an authorized signature, and attach a voided check.
How do I submit the Direct Pay application?
Return it with a voided check by mail to 5600 Hunter Drive, Richmond, IL 60071; use Village Hall’s front drop box; or email [email protected].
Do I need a notary for the Utility Bill Direct Pay Authorization?
No. The form requests an authorized signature and a voided check, but no notarized attachment or sworn step.

Need something notarized?

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