Eaton, OH · Preble County
ACH Recurring Payment Authorization Form
Eaton utility customers use this form to authorize recurring monthly payments from a checking or savings account.
What this form is
This form authorizes the City of Eaton to charge a checking or savings account for a utility bill each month. It asks for the customer’s account and contact information, bank details, account type, signature, and date. The authorization remains in effect until canceled in writing, and the form says to notify the city of account changes or cancellation at least 15 days before the next billing date.
Who needs it
Eaton utility customers who want their bill paid automatically from a checking or savings account should 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 lists no notarized attachment or sworn step.
How to submit this form
- 1
Download The Form
Download the ACH Recurring Payment Authorization Form.
- 2
Complete The Form
Enter your utility account and contact details, choose checking or savings, and provide the requested bank information.
- 3
Sign And Date
Sign and date the authorization.
- 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
- What does the ACH Recurring Payment Authorization Form do?
- It authorizes the City of Eaton to charge a checking or savings account for the amount shown on the utility bill each billing period.
- What information does the form ask for?
- The form asks for customer and utility account details, contact information, checking or savings account selection, bank information, and the signer’s signature and date.
- Do I need a notary for the ACH Recurring Payment Authorization Form?
- No. The form is signed and dated without a notary, and it lists no notarized attachment or sworn step.
- How do I submit the ACH Recurring Payment Authorization Form?
- The form does not specify a submission method. Submit it to the city department named on the form; check the city website for current contact details.