Deer Creek, IL · Tazewell County

No notary required

Automatic Bill Payment Service Authorization Form

Deer Creek water and sewer customers use this form to authorize automatic payments from a checking or savings account.

What this form is

This form enrolls a customer in Deer Creek’s free automatic payment service for monthly water and sewer bills. It asks for customer and service details, account information, and a signature and date; a voided check or deposit slip must be attached. The form also offers an optional checkbox for emailed water bills.

Who needs it

Deer Creek water and sewer customers who want monthly bills paid automatically from a checking or savings account need this form.

How to submit it

Return the completed form and a voided check or deposit slip to Deer Creek Village Hall, 101 E. First Street, Deer Creek, IL 61733. Bring it to the Village office or drop it in the water payment box in front of Village Hall.

About notarization

This authorization is signed and dated without a notary; attach a voided check or deposit slip, which the form does not say must be notarized.

How to submit this form

  1. 1

    Download The Form

    Download the Automatic Bill Payment Service Authorization Form.

  2. 2

    Complete The Authorization

    Enter your customer, service, and financial institution information, then sign and date the form.

  3. 3

    Gather The Attachment

    Attach a voided check or deposit slip to the completed form.

  4. 4

    Submit To The Village

    Bring the form to the Village office or place it in the water payment box in front of Village Hall.

Frequently asked questions

Do I need a notary for the Automatic Bill Payment Service Authorization Form?
No. The form is signed and dated without a notary. Attach a voided check or deposit slip; the form does not say that attachment must be notarized.
How do I submit the automatic payment form?
Return the completed form with a voided check or deposit slip to Deer Creek Village Hall. You can bring it to the Village office or use the water payment box in front of Village Hall.
What information and attachment does the form require?
Provide your name, phone, service address, email, water and sewer bill account number, financial institution, account type, routing number, and account number. Attach a voided check or deposit slip.
Can I use a savings account for automatic payments?
Yes. The form lets you identify either a checking or savings account for automatic water and sewer bill payments.

Need something notarized?

This Automatic Bill Payment Service Authorization Form doesn’t need a notary — but Illinois residents can notarize other documents online with a commissioned online notary.