Hancock, MI · Houghton County
Utility Billing Authorization & Enrollment Form for Autopay
Hancock utility customers use this form to authorize automatic payment of their water and sewer bill from a checking or savings account.
What this form is
This form authorizes the City of Hancock to withdraw the total amount due on each utility billing statement from the account provided. It also lets customers request paperless service. The form asks for contact, service address, water and sewer account, and financial institution details, plus a signature and date; submit it with one of the listed account verification attachments.
Who needs it
Hancock utility customers who want to enroll in automatic payment from a checking or savings account should complete this form.
How to submit it
Return the completed form to the City of Hancock, 399 Quincy Street, Hancock, MI 49930, with a voided check, savings withdrawal slip, or bank letter containing the specified account information.
About notarization
This form is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Hancock utility billing authorization and enrollment form.
- 2
Complete The Form
Fill in your contact, service address, utility account, and financial institution information; sign and date the form.
- 3
Gather An Attachment
Include a voided check, savings withdrawal slip, or bank letter with the requested account information.
- 4
Return It To The City
Send the completed form and attachment to the City of Hancock, 399 Quincy Street, Hancock, MI 49930.
Frequently asked questions
- Do I need a notary for the Hancock utility autopay form?
- No. Sign and date the form; it does not require a notary. Attach a voided check, savings withdrawal slip, or qualifying bank letter.
- How do I submit the Hancock utility autopay form?
- Return the completed form to the City of Hancock at 399 Quincy Street, Hancock, MI 49930, with one of the listed account verification attachments.
- What account information does the form request?
- It asks for your financial institution name, account number, bank routing number, and whether the account is checking or savings.
- What can I attach to the form?
- Attach a voided check (not a starter check), a savings withdrawal slip (not a deposit ticket), or a bank letter with the account holder name, routing number, account number, and account type.
Need something notarized?
This Utility Billing Authorization & Enrollment Form for Autopay doesn’t need a notary — but Michigan residents can notarize other documents online with a commissioned online notary.