Glasgow, MT · Valley County
ACH Form
Glasgow residents or account holders use this form to authorize or change recurring electronic debit payments from a checking or savings account.
What this form is
Use this form to begin or change authorization for recurring electronic debits from a checking or savings account. It asks for financial institution and account details, the authorized debit amount or calculation method, and the signer’s name, date, and signature. The form does not state when the city requires it.
Who needs it
An account holder who wants to begin or change recurring electronic debit payments authorized to the City of Glasgow can use 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 is signed and dated without a notary; the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the City of Glasgow ACH Form.
- 2
Complete The Form
Select begin payment or change information, choose checking or savings, and enter the requested account and debit details.
- 3
Sign And Date
Print your name, enter the date, and sign the authorization.
- 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
- Do I need a notary for the ACH Form?
- No. This form has a signature and date line but no notary block or notarized attachment; the signer just signs and dates it.
- How do I submit the ACH Form?
- The form does not give submission instructions. Submit it to the city department named on the form, and check the city website for current contact details.
- What account information does the ACH Form request?
- It asks for the financial institution, routing number, account number, and name or names on the account, along with the authorized debit amount or method for determining it.