Do I need a notary for the CAPS authorization form?

No. This form is signed without a notary; the signer signs and dates it. A voided check must accompany the request.

How do I submit the CAPS authorization form?

Return the completed form with a voided check to the City Treasurer’s Office at 2 North Main Street, Canandaigua 14424. The form also says to return it with your bill payment.

What information does the CAPS form ask for?

It asks for customer names as shown on the water/sewer bill and bank account, mailing and service addresses, bank and account details, telephone number, water/sewer account number, and signature.

What does the CAPS form authorize?

It authorizes the City of Canandaigua to begin electronic deductions from your bank account for water and sewer bills, quarterly or monthly, on the 20th of the month the bill is due.

Canandaigua, NY · Ontario County

No notary required

Canandaigua’s Automatic Payment System Authorization Form

This form authorizes the City of Canandaigua to deduct water and sewer bill payments from a customer’s bank account through CAPS.

What this form is

Water and sewer customers use this form to authorize the City of Canandaigua’s Automatic Payment System (CAPS) to deduct bill payments from a bank account. It requests customer and service addresses, bank details, account numbers, a telephone number, and a signature; a voided check must accompany the request.

Who needs it

Water or sewer customers who want the City of Canandaigua to deduct their bills automatically from a bank account should complete this form.

How to submit it

Complete the form and return it with a voided check to the City Treasurer’s Office, 2 North Main Street, Canandaigua 14424. The form also says to return it with your bill payment.

About notarization

This form is signed without a notary; the signer just signs and dates it, and a voided check must accompany the request.

How to submit this form

1
Download The Form
Download the CAPS authorization form.
2
Complete The Form
Print the requested customer, address, bank, account, and telephone information, then sign.
3
Gather The Attachment
Include a voided check with the request.
4
Submit To The City
Return the form and voided check to the City Treasurer’s Office at 2 North Main Street, Canandaigua 14424.

Frequently asked questions

Do I need a notary for the CAPS authorization form?: No. This form is signed without a notary; the signer signs and dates it. A voided check must accompany the request.
How do I submit the CAPS authorization form?: Return the completed form with a voided check to the City Treasurer’s Office at 2 North Main Street, Canandaigua 14424. The form also says to return it with your bill payment.
What information does the CAPS form ask for?: It asks for customer names as shown on the water/sewer bill and bank account, mailing and service addresses, bank and account details, telephone number, water/sewer account number, and signature.
What does the CAPS form authorize?: It authorizes the City of Canandaigua to begin electronic deductions from your bank account for water and sewer bills, quarterly or monthly, on the 20th of the month the bill is due.

Need something notarized?

This Canandaigua’s Automatic Payment System Authorization Form doesn’t need a notary — but if you have another Canandaigua form that does, a commissioned online notary can help.