Do I need a notary for the Utility Bill Automatic Account Payment form?

No. The form asks for the customer's signature, not notarization. Include a voided check for checking or a deposit slip for savings.

How do I submit the automatic payment form?

Return it to the Utilities Department at 115 Willard Memorial Square, Wellington, OH 44090, with a voided check or deposit slip as applicable.

When are automatic utility payments deducted?

The form says monthly utility payments are deducted on the 15th. Customers still receive their bill on the first, and remain responsible for payment until an invoice says “DO NOT PAY- AUTO DEBIT.”

What account information does the form request?

It requests a checking or savings account selection, account number, routing number, address, utility account number, and customer signature.

Wellington, OH · Lorain County

No notary required

Utility Bill Automatic Account Payment

Wellington utility customers use this form to authorize monthly utility bill deductions from a checking or savings account.

What this form is

This form authorizes the Village of Wellington to deduct a customer's monthly utility bill from a checking or savings account. Customers can use it to enroll in the automatic payment program; deductions occur on the 15th, and bills are still sent on the first. The form asks for the account type and number, routing number, address, utility account number, and customer signature, along with a voided check or deposit slip.

Who needs it

Wellington utility customers who want monthly bill payments deducted automatically from a checking or savings account should complete this form.

How to submit it

Return the form to the Utilities Department, 115 Willard Memorial Square, Wellington, OH 44090. Include a voided check for checking or a deposit slip for savings.

About notarization

This form is signed without a notary; it asks for the customer's signature and requires a voided check or deposit slip, not a notarized or sworn attachment.

How to submit this form

1
Download The Form
Download the Wellington Utility Bill Automatic Account Payment PDF.
2
Complete The Form
Select checking or savings and provide the requested account, routing, address, utility account, and customer information.
3
Gather The Attachment
Include a copy of a voided check for checking or a deposit slip for savings.
4
Return It To The Utilities Department
Send the completed form and attachment to 115 Willard Memorial Square, Wellington, OH 44090.

Frequently asked questions

Do I need a notary for the Utility Bill Automatic Account Payment form?: No. The form asks for the customer's signature, not notarization. Include a voided check for checking or a deposit slip for savings.
How do I submit the automatic payment form?: Return it to the Utilities Department at 115 Willard Memorial Square, Wellington, OH 44090, with a voided check or deposit slip as applicable.
When are automatic utility payments deducted?: The form says monthly utility payments are deducted on the 15th. Customers still receive their bill on the first, and remain responsible for payment until an invoice says “DO NOT PAY- AUTO DEBIT.”
What account information does the form request?: It requests a checking or savings account selection, account number, routing number, address, utility account number, and customer signature.

Need something notarized?

This Utility Bill Automatic Account Payment doesn’t need a notary — but if you have another Wellington form that does, a commissioned online notary can help.