Lewistown, MT · Fergus County
ACH Authorization Form
Lewistown Water & Sewer customers use this form to authorize monthly automatic bank debits for their water and sewer bills.
What this form is
This form authorizes the Lewistown Water & Sewer Department to debit a customer’s checking or savings account for the amount shown on the monthly bill. To enroll, the account must be current; return the completed form with a voided check for checking or a deposit slip for savings. The form requests account, service address, contact, and financial institution details, plus a signature and date.
Who needs it
Lewistown Water & Sewer customers who want their bills paid by monthly automatic debit should complete and return this form.
How to submit it
Complete the form, attach a voided check for checking or a deposit slip for savings, and return it to the City office at 305 W. Watson St, Lewistown, MT 59457.
About notarization
This form 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 ACH Authorization Form.
- 2
Complete The Form
Provide your water and sewer account, service address, contact details, financial institution information, signature, and date.
- 3
Gather The Attachment
Attach a voided check for a checking account or a deposit slip for a savings account.
- 4
Submit To The City
Return the form and attachment to the City office at 305 W. Watson St, Lewistown, MT 59457.
Frequently asked questions
- What does the ACH Authorization Form do?
- It authorizes the Lewistown Water & Sewer Department to debit a checking or savings account for the amount shown on the monthly bill.
- What should I attach to the form?
- Attach a voided check for checking account deductions or a deposit slip for savings account deductions.
- Do I need a notary for the ACH Authorization Form?
- No. This form is signed without a notary; no notarized or sworn attachment is mentioned, so the signer just signs and dates it.
- How do I submit the ACH Authorization Form?
- Return the completed form with the required check or deposit slip to the City office at 305 W. Watson St, Lewistown, MT 59457.