Ravenna, MI · Muskegon County
Automatic Payment Sign Up for Combined Water-Sewer-Refuse Bill
Ravenna customers use this form to authorize automatic withdrawals for their combined water, sewer, and refuse bill.
What this form is
This form authorizes the Village of Ravenna to debit the account listed for the full combined water, sewer, and refuse bill. Customers provide their service address, account number, bank and account details, and a signature and date. The form states that withdrawals occur on the 15th of the month the bill is due and explains how to revoke authorization and what may happen after a returned payment.
Who needs it
Ravenna customers who want to pay their combined water, sewer, and refuse bill automatically from a bank account need 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 document is signed without a notary; the signer just signs and dates the authorization.
How to submit this form
- 1
Download the Form
Download the automatic payment sign-up form for the combined water, sewer, and refuse bill.
- 2
Complete the Form
Enter your service and account details, bank information, phone number, and the initial withdrawal date.
- 3
Sign and Date
Sign and date the authorization.
- 4
Submit to the City
Submit the form to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the automatic payment form authorize?
- It authorizes the Village of Ravenna to debit the listed account for the full combined water, sewer, and refuse bill, and to credit the account if needed to correct an erroneous debit.
- What information does the form ask for?
- It asks for the service address, account number, account type, account holder and bank details, phone number, signature, and date.
- Do I need a notary for the automatic payment form?
- No. This document is signed without a notary; the signer just signs and dates the authorization.
- How do I submit the automatic payment form?
- The form does not specify a submission method. Submit it to the city department named on the form; check the city website for current contact details.