Harvey Cedars, MT · Ocean County
Consumer Authorization for Direct Payment of Utility Bills via ACH
Harvey Cedars utility customers use this form to authorize the Borough to debit a bank account for utility bill payments.
What this form is
This authorization lets a utility customer authorize the Borough of Harvey Cedars to debit a checking or savings account for utility bills and correct erroneous debits. It asks for bank and account details, the debit amount or method for determining it, payment frequency, utility account number, and property block and lot. The form states utility charges are due quarterly and explains how to revoke the authorization.
Who needs it
A Harvey Cedars utility customer who wants the Borough to collect utility bill payments by direct debit from a bank account needs this form.
How to submit it
The form lists Rebecca Wessler's email, [email protected], and fax, (609) 494-2335, as contact details. It also lists the Borough's mailing address: PO Box 3185, Harvey Cedars, New Jersey 08008-0319.
About notarization
This document is signed and dated without a notary; it identifies no notarized or sworn attachment, so the signer just signs and dates it.
How to submit this form
- 1
Download The Form
Download the Consumer Authorization for Direct Payment of Utility Bills via ACH.
- 2
Complete The Authorization
Select checking or savings and fill in the requested bank, debit, payment frequency, utility account, and property information.
- 3
Review And Sign
Print your name, date the form, and provide the required signature or signatures. No attachment is listed.
- 4
Send It To The Borough
Use the email, fax, or mailing address listed on the form.
Frequently asked questions
- Do I need a notary for the utility payment authorization?
- No. This form has no notary block; the signer just signs and dates it. The form identifies no notarized or sworn attachment.
- How do I submit the ACH utility authorization?
- The form lists an email address, [email protected], a fax number, (609) 494-2335, and the Borough's PO Box 3185 mailing address.
- What information does the authorization ask for?
- It asks for the bank name, routing and account numbers, debit amount or method, payment frequency, printed name, date, signature, utility account number, and block and lot.
- How do I cancel the direct debit authorization?
- The form says the authorization stays in effect until you notify the Borough in writing that you wish to revoke it. It requires at least 30 days' prior notice to cancel.
Need something notarized?
This Consumer Authorization for Direct Payment of Utility Bills via ACH doesn’t need a notary — but if you have another Harvey Cedars form that does, a commissioned online notary can help.