What does the Authorization for Direct Payment do?

It authorizes Anaconda-Deer Lodge County to send payments by electronic funds transfer to the bank account listed by the individual or company.

What information does the form ask for?

It asks for the individual’s or company’s contact information, email, bank name, routing number, account number, account type, date, and signature.

Do I need a notary for the Authorization for Direct Payment?

No. The document has no notary block or notarized attachment; the signer just signs and dates it.

How do I submit the Authorization for Direct Payment?

Submit it to the county office named on the form. The document does not give contact details, so check the county website for current submission information.

Deer Lodge County, MT · Deer Lodge County

No notary required

Authorization for Direct Payment

Individuals or companies use this form to authorize Anaconda-Deer Lodge County to send payment obligations by electronic funds transfer to a specified bank account.

At a glance

Issued by: City of Deer Lodge County · Deer Lodge County, Deer Lodge County, Montana
Notarization: Not required: file this form without a notary.
Official source: adlc.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form authorizes Anaconda-Deer Lodge County to make payments by electronic funds transfer to the bank account provided. Individuals or companies use it when the county has payment obligations to them. It asks for the payee’s name, address, contact details, email, bank name, routing and account numbers, account type, date, and signature.

Who needs it

An individual or company expecting payments from Anaconda-Deer Lodge County can use this form to authorize electronic funds transfers.

How to submit it

Submit it to the county office named on the form; check the county website for current contact details.

About notarization

This document is signed without a notary; no notarized or sworn attachment is mentioned, so the signer just signs and dates it.

How to submit this form

1
Download the Form
Download the Authorization for Direct Payment PDF.
2
Complete the Form
Enter your contact and bank account information, select an account type, and provide the date and signature.
3
Gather Attachments
The form does not specify any attachments.
4
Submit to the County
Submit the completed form to the county office named on it; check the county website for current contact details.

Frequently asked questions

What does the Authorization for Direct Payment do?: It authorizes Anaconda-Deer Lodge County to send payments by electronic funds transfer to the bank account listed by the individual or company.
What information does the form ask for?: It asks for the individual’s or company’s contact information, email, bank name, routing number, account number, account type, date, and signature.
Do I need a notary for the Authorization for Direct Payment?: No. The document has no notary block or notarized attachment; the signer just signs and dates it.
How do I submit the Authorization for Direct Payment?: Submit it to the county office named on the form. The document does not give contact details, so check the county website for current submission information.

Need something notarized?

This Authorization for Direct Payment doesn’t need a notary, but if you have another Deer Lodge County form that does, a commissioned online notary can help.