Williamsville, IL · Sangamon County

No notary required

Direct Debit Authorization

Williamsville water and sewer customers use this authorization to enroll in recurring bank-account debits for utility payments.

What this form is

Use this authorization to have the Village of Williamsville debit your bank account for water and sewer payments on the 20th of each month, or the next business day if that date falls on a weekend or holiday. It requests utility account, contact, and bank details, and requires a deposit slip or voided check for verification. It also explains late-payment responsibility and program removal conditions.

Who needs it

Williamsville water and sewer customers who want recurring utility payments debited from a bank account can complete this authorization.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This authorization is signed and dated without a notary; attach a deposit slip or voided check for bank-account verification.

How to submit this form

  1. 1

    Download The Authorization

    Download the Direct Debit Authorization PDF for Williamsville water and sewer utility payments.

  2. 2

    Complete The Form

    Enter your water account, contact, and bank information, then review the authorization terms.

  3. 3

    Gather Verification

    Attach a deposit slip or a voided check to verify your bank-account information.

  4. 4

    Sign And Date

    Sign and date the authorization.

  5. 5

    Submit To The City

    Submit the completed authorization and attachment to the city department named on the form; check the city website for current contact details.

Frequently asked questions

Do I need a notary for the Direct Debit Authorization?
No. The authorization asks for a signature and date, not notarization. Attach a deposit slip or voided check to verify your bank-account information.
How do I submit the Direct Debit Authorization?
Complete and sign the authorization, attach a deposit slip or voided check, and submit it to the city department named on the form. Check the city website for current contact details.
When will the utility payment be debited?
The authorization permits a debit on the 20th of each month, or the next business day if the 20th falls on a weekend or holiday.
What information does the authorization request?
It asks for the water account number, contact name and telephone number, bank account and routing numbers, bank or credit union name, and bank address.

Need something notarized?

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