Grandview, IL · Sangamon County
Residential Direct Pay Enrollment or Change Form
Grandview residents use this form to enroll in or change direct payment for their monthly Village water bill.
What this form is
Use this form to request new enrollment in residential direct pay or change existing account information for your monthly Village of Grandview water bill. It asks for your account and contact details, bank information, account type, and preferred payment deduction date. The form authorizes the Village to debit the bank account and asks you to attach a blank or voided check.
Who needs it
Grandview water customers who want to enroll in direct pay or change their existing direct pay information should complete this form.
How to submit it
Complete the form and mail it to Village of Grandview, 2377 E. Reservoir, Springfield, IL 62702, or fax it to (217) 528-9690.
About notarization
This document is signed without a notary; attach a blank or voided check from the account, then sign the form.
How to submit this form
- 1
Download The Form
Download the Residential Direct Pay Enrollment or Change Form.
- 2
Complete The Form
Indicate whether you are enrolling or changing information, then provide the requested account, contact, and bank details.
- 3
Attach A Voided Check
Attach a blank or voided check from the account you want the Village to debit.
- 4
Sign And Submit
Sign the form and mail it to the Village address shown or fax it to (217) 528-9690.
Frequently asked questions
- Who uses the Residential Direct Pay Enrollment or Change Form?
- Grandview water customers use it to enroll in direct pay or change existing enrollment information for monthly water bill payments.
- What information and attachment does the form request?
- It requests account, contact, and financial institution details, plus an account type and payment deduction date. Attach a blank or voided check.
- How do I submit the Direct Pay form?
- Complete it and mail it to Village of Grandview, 2377 E. Reservoir, Springfield, IL 62702, or fax it to (217) 528-9690.
- Do I need a notary for the Direct Pay form?
- No. The form is signed without a notary. Attach a blank or voided check from the account and sign the form.
Need something notarized?
This Residential Direct Pay Enrollment or Change Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.