Sheffield Lake, OH · Lorain County
Direct Payment (DP) Authorization Form
This form lets Sheffield Lake water customers authorize electronic debit entries to a designated account for their utility account.
What this form is
Water customers use this form to authorize the City of Sheffield Lake Water Department and a depository financial institution to initiate electronic debit entries and, if necessary, credit entries. It requests the customer’s utility account number, financial institution and account details, address, signature, and date. The form also asks customers to attach an original voided check and photo ID or a copy of a current driver’s license.
Who needs it
Sheffield Lake water customers who want to authorize electronic payment entries to their account complete and sign 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 without a notary; attach an original voided check and photo ID or a copy of a current driver’s license.
How to submit this form
- 1
Download The Form
Download the Direct Payment Authorization Form.
- 2
Complete The Form
Enter your name, utility account number, financial institution and account details, address, authorized signature, and date.
- 3
Gather Attachments
Attach an original voided check and photo ID or a copy of a current driver’s license.
- 4
Submit To The City
Check the city website for current contact details for submitting the form to the named city department.
Frequently asked questions
- What does the Direct Payment Authorization Form do?
- It authorizes the Sheffield Lake Water Department and the named financial institution to initiate electronic debit entries and, if necessary, credit entries to the listed account.
- What attachments does the form request?
- Attach an original voided check and photo ID or a copy of a current driver’s license.
- Do I need a notary for the Direct Payment Authorization Form?
- No. The document is signed without a notary. It asks for an original voided check and photo ID or a copy of a current driver’s license.
- How do I submit the Direct Payment Authorization Form?
- The form names the Sheffield Lake Water Department but does not provide submission instructions. Check the city website for current contact details.