Catawissa, PA · Columbia County
ACH Authorization Form
Catawissa Borough account holders use this form to authorize automatic withdrawals for electric and/or sewer bills from a checking or savings account.
What this form is
Use this form to authorize Catawissa Borough to withdraw the amount due on your electric and/or sewer bills from a checking or savings account. It requests account holder and utility account details, financial institution and bank account information, and a signature and date. The form says withdrawals occur on the fifteenth of each month, or the next business day when that date falls on a weekend or holiday.
Who needs it
Catawissa Borough electric or sewer customers who want to authorize automatic bill withdrawals from a checking or savings account need this form.
How to submit it
Return the completed form to Catawissa Borough, 307 Main Street, Catawissa, PA 17820, with a voided check attached, as instructed on the form.
About notarization
This form is signed and dated without a notary; attach a voided check, which the document does not identify as requiring notarization.
How to submit this form
- 1
Download The Form
Download the ACH Authorization Form from this page.
- 2
Complete The Form
Provide your utility account and contact details, account holder name, financial institution, routing and account numbers, and checking or savings selection.
- 3
Attach A Voided Check
Attach a voided check as directed on the form.
- 4
Sign And Return
Sign and date the form, then return it with the voided check to Catawissa Borough, 307 Main Street, Catawissa, PA 17820.
Frequently asked questions
- Do I need a notary for the ACH Authorization Form?
- No. The form has a signature and date line but no notary block. Attach a voided check as instructed; the document does not say it must be notarized.
- How do I submit the ACH Authorization Form?
- Return the completed form to Catawissa Borough, 307 Main Street, Catawissa, PA 17820, and attach a voided check.
- What bills can I authorize for automatic withdrawal?
- The form authorizes withdrawals for the total amount due on your Catawissa Borough electric and/or sewer bills.
- When are payments withdrawn?
- The form states that withdrawals are made on the fifteenth of each month, or the next business day if the fifteenth falls on a weekend or holiday.