Harbor Beach, MI · Huron County
ACH Pay Application
Harbor Beach utility customers use this application to authorize automatic withdrawals from a checking or savings account for quarterly utility bill payments.
What this form is
This application lets a Harbor Beach utility customer authorize the city to debit a checking or savings account for quarterly utility bills. It asks for customer and property details, utility account number, banking information, bill delivery preference, and a signature and date. The application requires a voided check and states that a $35 fee will be added to the utility billing account if an ACH payment fails.
Who needs it
Harbor Beach utility customers who want the city to withdraw quarterly bill payments directly from a checking or savings account need this application.
How to submit it
Complete the application and return it to City Hall by mail or through the drop box. Include a voided check with the application.
About notarization
This document is signed without a notary; the signer just signs and dates the application, and no notarized or sworn attachment is mentioned.
How to submit this form
- 1
Download The Application
Download the ACH Pay Application for Harbor Beach utility bill payments.
- 2
Complete The Application
Choose mail or email bill delivery and fill in the customer, property, utility account, and banking information.
- 3
Gather The Required Check
Write “VOID” across a check and include it with the application.
- 4
Return It To City Hall
Send the completed application to City Hall by mail or return it through the drop box.
Frequently asked questions
- What does the ACH Pay Application authorize?
- It authorizes the City of Harbor Beach to debit utility bill payments from the customer’s checking or savings account on the bill’s due date.
- What should I include with the ACH Pay Application?
- Include a voided check so the city can confirm the routing and account numbers. The form also asks for customer, property, utility account, and banking information.
- How do I submit the ACH Pay Application?
- Complete the application and return it to City Hall by mail or through the drop box. Include the required voided check.
- Do I need a notary for the ACH Pay Application?
- No. This application is signed and dated without a notary; it requires a voided check, but the document does not say that the check or any attachment must be notarized.