Ishpeming, MI · Marquette County
Utility Billing Authorization & Enrollment Form for Autopay
Ishpeming utility customers use this form to authorize automatic withdrawals from a bank account for the total amount due on each billing statement.
What this form is
Use this form when you choose to enroll in automatic payment of Ishpeming utility bills. It authorizes the City to withdraw the total amount due on each billing statement and asks for customer, service, and bank account details, along with a signature and date.
Who needs it
Ishpeming utility customers who want payments automatically withdrawn from a checking or savings account can complete this form.
How to submit it
Return the completed form to City of Ishpeming Utility Billing, 100 E. Division St., Ishpeming, MI 49849.
About notarization
This form is signed and dated without a notary; attach a voided check for checking or a savings withdrawal slip for savings.
How to submit this form
- 1
Download the Form
Download the Ishpeming utility billing authorization and enrollment form.
- 2
Complete the Form
Provide your contact and service details, bank information, and signature and date.
- 3
Gather the Bank Attachment
Attach a voided check for a checking account or a savings withdrawal slip for a savings account.
- 4
Return the Form
Return the completed form to City of Ishpeming Utility Billing at 100 E. Division St., Ishpeming, MI 49849.
Frequently asked questions
- Do I need a notary for the Ishpeming utility autopay form?
- No. The form asks for a signature and date, not a notary. Attach a voided check for checking or a savings withdrawal slip for savings.
- How do I submit the Ishpeming utility autopay form?
- Return the completed form to City of Ishpeming Utility Billing, 100 E. Division St., Ishpeming, MI 49849.
- What bank information does the form ask for?
- It asks for the financial institution, account type, ABA routing number, and account number, as well as customer and service address information.
- What does the autopay authorization allow?
- It authorizes the City to withdraw the total amount due on each billing statement from the account you identify, on the due date shown.