Greenville, MI · Montcalm County
ACH Authorization Form
This form authorizes the City of Greenville to debit a checking or savings account for utility bill payments on the bill’s due date.
What this form is
Use this form to authorize the City of Greenville to initiate ACH entries to a checking or savings account and correct transactions credited or debited in error. It asks for the account holder’s contact details, financial institution and account information, and an authorized signature and date; the form states payments will be drafted on the bill’s due date.
Who needs it
A utility customer who wants to authorize ACH payments from a checking or savings account should complete this form.
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 form does not require notarization; the account holder simply provides an authorized signature and date.
How to submit this form
- 1
Download The Form
Download the ACH Authorization Form.
- 2
Complete The Form
Enter the requested contact, financial institution, and account information.
- 3
Sign And Date
Provide an authorized signature and date.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the ACH Authorization Form authorize?
- It authorizes the City of Greenville to initiate entries to the listed checking or savings account and, if needed, adjust transactions credited or debited in error.
- What information does the form ask for?
- It requests contact information, financial institution details, a routing number, checking or savings account number, an authorized signature, and a date.
- Do I need a notary for the ACH Authorization Form?
- No. This form does not require notarization; the account holder simply provides an authorized signature and date.
- How do I submit the ACH Authorization Form?
- Submit it to the city department named on the form; check the city website for current contact details.