Fremont, NC · Wayne County
Electronic Bank Draft Payment Form
Fremont utility customers use this form to add, remove, or change the bank account used for monthly electronic bill payments.
What this form is
Use this form to authorize Town of Fremont Utilities to add, remove, or change the bank account used for electronic payment of a utility bill. It asks you to select the requested change and provide account-holder, financial institution, routing, bank account, service address, utility account, signature, date, and phone details. The form says drafts are debited on the 20th of each month.
Who needs it
Fremont utility customers who want to add, remove, or change the bank account used for electronic drafts 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 form is signed and dated without a notary; to be added to electronic bank draft status, include a voided check with the correct routing and bank account numbers.
How to submit this form
- 1
Download The Form
Download the Electronic Bank Draft Payment Form PDF.
- 2
Complete The Form
Select whether you want to add, remove, or change bank draft details, then fill in the requested customer and bank information.
- 3
Gather The Attachment
If you are being added to electronic bank draft status, include a voided check with the correct routing and bank account numbers.
- 4
Sign And Submit
Sign and date the form, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Electronic Bank Draft Payment Form do?
- It authorizes Town of Fremont Utilities to add, remove, or change the bank account used for electronic utility bill payments.
- What information and attachment does the form request?
- It requests customer, utility account, and bank details, plus a signature and date. To be added to electronic bank draft status, include a voided check with the correct routing and bank account numbers.
- Do I need a notary for the Electronic Bank Draft Payment Form?
- No. The form is signed and dated without a notary. If you are being added to electronic bank draft status, include a voided check with the correct routing and bank account numbers.
- How do I submit the Electronic Bank Draft Payment Form?
- Submit it to the city department named on the form; check the city website for current contact details.