What does the ACH Recurring Payment Authorization Form authorize?

It authorizes the City of Eaton to charge the account listed on the form for a utility bill on the 15th of each month.

What information does the form ask for?

It asks for the account holder's contact and billing information, checking or savings account type, bank details, and a signature and date.

Eaton, OH · Preble County

No notary required

ACH Recurring Payment Authorization Form

Eaton utility customers use this form to authorize recurring payments directly 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 on the 15th of each month. It asks for account holder and contact information, bank details, account type, and a signature and date. The signer also agrees to the authorization terms, including how to cancel or update account information.

Who needs it

Eaton utility customers who want recurring utility bill payments withdrawn from a checking or savings account should complete this form.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; the signer completes and dates the authorization, and no notarized or sworn attachment is mentioned.

How to submit this form

1
Download the Form
Download the ACH Recurring Payment Authorization Form from the City of Eaton.
2
Complete the Form
Enter your contact, account, and bank information, and select checking or savings.
3
Sign and Date
Sign and date the authorization after reviewing its terms.
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 authorize?: It authorizes the City of Eaton to charge the account listed on the form for a utility bill on the 15th of each month.
What information does the form ask for?: It asks for the account holder's contact and billing information, checking or savings account type, bank details, and a signature and date.
Do I need a notary for the ACH Recurring Payment Authorization Form?: No. The document is signed without a notary; the signer completes and dates the authorization, and no notarized or sworn attachment is mentioned.
How do I submit the ACH Recurring Payment Authorization Form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This ACH Recurring Payment Authorization Form doesn’t need a notary — but if you have another Eaton form that does, a commissioned online notary can help.