Richmond, IL · McHenry County
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
Download The Application
Download the Utility Bill Direct Pay Authorization.
- 2
Complete The Form
Enter your customer, utility account, contact, and financial institution information, then provide an authorized signature.
- 3
Attach A Voided Check
Include a voided check with the completed application.
- 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.
