Napoleon, OH · Henry County
Utility Direct Payment Authorization
Napoleon utility customers use this authorization form to arrange direct payment of utility bills from a checking or savings account.
What this form is
This form authorizes the City of Napoleon to debit utility bill payments from a customer's checking or savings account. Customers provide bank and account details, select an account type, and sign and date the authorization. The bill's due date is the debit date, and the authorization remains in effect until written notice of termination is received.
Who needs it
Napoleon utility customers who want their bills debited from a checking or savings account need to complete this authorization.
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 contains no sworn attachment or notarized related step.
How to submit this form
- 1
Download the Form
Download the Utility Direct Payment Authorization form.
- 2
Complete the Authorization
Enter the bank and account details, utility account number, customer name, and date; select checking or savings.
- 3
Sign the Form
Sign the authorization. The form does not list any attachments to gather.
- 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 Utility Direct Payment Authorization?
- No. The authorization asks for signatures and a date but has no notary block or sworn attachment.
- How do I submit the Utility Direct Payment Authorization?
- The form does not provide a submission address or contact method. Submit it to the city department named on the form; check the city website for current contact details.
- What information does the authorization ask for?
- It asks for bank name, branch, city, state, routing number, account number, checking or savings selection, utility account number, date, and signatures.
- When will the utility payment be debited?
- The form says the utility bill's due date is the effective date that the customer's account will be debited.