Granville, OH · Licking County
Authorization Agreement for Electronic Funds Transfer
Water customers use this application to authorize the Village of Granville to transfer utility bill payments from a bank account.
What this form is
This form authorizes the Village of Granville to transfer a water customer's utility bill payment from the bank account provided. It asks for customer and service details, water account information, bank account information, and a signature and date. Include a voided check, copy of a check, or payment with the application.
Who needs it
Water customers who want the Village of Granville to transfer utility bill payments from a bank account should complete this application.
How to submit it
Send the completed application with a voided check, copy of a check, or payment to the Water Department, P.O. Box 514, Granville, OH 43023; the form lists 740-587-1400.
About notarization
This authorization is signed and dated without a notary; include a voided check, copy of a check, or payment with the application.
How to submit this form
- 1
Download The Form
Download the Authorization Agreement for Electronic Funds Transfer.
- 2
Complete The Application
Print or type your water customer and bank account information, then sign and date the authorization.
- 3
Gather The Required Item
Include a voided check, copy of a check, or payment with the application.
- 4
Send It To The Water Department
Send the completed application and included item to the Water Department, P.O. Box 514, Granville, OH 43023.
Frequently asked questions
- Do I need a notary for the electronic funds transfer authorization?
- No. Sign and date the authorization without a notary. Include a voided check, copy of a check, or payment with the application.
- How do I submit the water funds transfer application?
- Send the application with a voided check, copy of a check, or payment to the Water Department, P.O. Box 514, Granville, OH 43023.
- What information does the application ask for?
- It asks for your name, service address, telephone number, water account number, bank name, bank account number, account type, and routing number.
- When are utility bill payments transferred?
- The authorization states that funds are transferred on the 15th of the month or the first business day following the 15th.