Havre, MT · Hill County

No notary required

Water/Sewer Department Auto Pay Program Customer Authorization Form

Havre water and sewer customers use this authorization form to enroll a bank account in the City’s automatic payment program and optionally request paperless billing.

What this form is

The form authorizes the City of Havre to deduct monthly water/sewer bills and a final bill from the customer’s bank account. Customers provide account, service, bank, and contact details, select checking or savings, and may indicate whether they want paperless billing. The form requires a voided check and signed, dated authorization; the city verifies submitted information before setting up the plan.

Who needs it

Havre water or sewer customers who want the City to automatically deduct bills from a bank account should complete and return this form.

How to submit it

Complete, sign, and return the form by mail to City of Havre, P.O. Box 231, Havre, MT 59501; by email to [email protected]; or in person at City Hall, 520-4th Street, Havre, MT 59501. Enclose a voided check.

About notarization

No notary is required; the account holder (and joint account holder, if applicable) signs and dates the form and encloses a voided check.

How to submit this form

  1. 1

    Download The Form

    Download the Water/Sewer Department Auto Pay Program Customer Authorization Form.

  2. 2

    Complete The Form

    Enter your water account, service, bank, and contact information; select checking or savings and indicate whether you want paperless billing.

  3. 3

    Gather The Attachment

    Enclose a voided check and sign and date the authorization; have a joint account holder sign and date it if applicable.

  4. 4

    Submit To The City

    Return the form by mail, email, or in person to the City of Havre Water/Sewer Department using the listed contact details.

Frequently asked questions

Do I need a notary for the Water/Sewer Auto Pay Authorization Form?
No. The account holder, and a joint account holder if applicable, signs and dates the form. Enclose a voided check; no notarization is stated.
How do I submit the Water/Sewer Auto Pay Authorization Form?
Return it by mail, email, or in person to the City of Havre Water/Sewer Department using the contact details printed on the form. Enclose a voided check.
What information does the auto pay form ask for?
It asks for the water account number, service address, bank and account details, account type, email, phone number, and account holder signatures and dates.
Do I need to keep paying bills while auto pay is being set up?
Yes. The form says payments do not start until the bill reflects that a bank draft will occur, so customers must continue making payments in the meantime.

Need something notarized?

This Water/Sewer Department Auto Pay Program Customer Authorization Form doesn’t need a notary — but if you have another Havre form that does, a commissioned online notary can help.