Glasgow, MT · Valley County
Direct Payment Via ACH
This ACH authorization form lets a Glasgow account holder begin or change recurring electronic payments from a checking or savings account.
What this form is
Use this form to authorize the City of Glasgow to debit a checking or savings account for recurring payments, or to change information for an existing authorization. It asks the account holder to select begin payment or change information, provide financial institution and account details, specify the authorized debit amount or method, and sign and date the authorization.
Who needs it
An account holder who wants to authorize or change recurring ACH payments to the City of Glasgow should complete 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 authorization is signed and dated without a notary; the form lists no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Direct Payment Via ACH form for Glasgow.
- 2
Complete The Authorization
Choose begin payment or change information, enter the requested account and debit details, and print your name.
- 3
Review And Sign
Check the information, then 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 Direct Payment Via ACH form?
- No. This form has a signature and date line but no notary block. It lists no notarized or sworn attachment, so the signer just signs and dates it.
- How do I submit the Direct Payment Via ACH form?
- The form does not give submission instructions. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the ACH authorization form request?
- It asks you to select begin payment or change information, choose checking or savings, and enter financial institution, routing, account, account-holder, and authorized debit amount details.
- How can I cancel this ACH authorization?
- The form says to notify the City of Glasgow at 319 3rd Street South, Glasgow, or by phone at (406) 228-2476. It states that at least 10 days' prior notice is required.