What does the ACH authorization form do?

It authorizes the City of Reading to initiate debit entries to the checking or savings account provided on the form. The authorization stays in effect until the city receives written notice of termination.

What information does the form ask for?

It asks for the depository name and branch, routing and account numbers, account holder name, service address, water-bill route and account number, phone number, email address, date, and signature.

Do I need a notary for the ACH authorization form?

No. The form has a signature and date field and does not require notarization; the signer just signs and dates the authorization.

How do I submit the ACH authorization form?

The form does not provide submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.

Reading, OH · Hamilton County

No notary required

Authorization Agreement for Direct Payments (ACH Debits)

Reading residents use this authorization form to let the city debit a checking or savings account for payments associated with a water bill.

What this form is

This form authorizes the City of Reading to initiate ACH debits from the checking or savings account identified by the signer. It asks for the bank name and branch, routing and account numbers, account holder names, service address, water-bill route and account number, phone number, email address, date, and signature. The authorization remains in effect until the city receives written termination notice.

Who needs it

A Reading customer who wants to authorize direct payments from a checking or savings account 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 document is signed and dated without a notary; the signer just signs and dates the authorization.

How to submit this form

1
Download The Form
Download the ACH direct payment authorization form.
2
Complete The Form
Enter the requested bank, account holder, service address, water-bill, and contact information.
3
Sign And Date
Review the authorization, then provide the requested signature and date.
4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What does the ACH authorization form do?: It authorizes the City of Reading to initiate debit entries to the checking or savings account provided on the form. The authorization stays in effect until the city receives written notice of termination.
What information does the form ask for?: It asks for the depository name and branch, routing and account numbers, account holder name, service address, water-bill route and account number, phone number, email address, date, and signature.
Do I need a notary for the ACH authorization form?: No. The form has a signature and date field and does not require notarization; the signer just signs and dates the authorization.
How do I submit the ACH authorization form?: The form does not provide submission instructions or contact details. Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Authorization Agreement for Direct Payments (ACH Debits) doesn’t need a notary — but if you have another Reading form that does, a commissioned online notary can help.