Elizabethtown, PA · Lancaster County
Bank Draft Authorization
Property owners use this form to authorize, change, or cancel automatic bank withdrawals for quarterly sewer and trash utility bills.
What this form is
Property owners use this form to start, change, or cancel automatic withdrawals for quarterly sewer and trash bills. It requests utility account and service address details, account holder and bank information, and the requested authorization action. The signer authorizes drafts for the full bill amount and may attach a voided check or deposit slip.
Who needs it
A property owner who wants to start, change, or cancel automatic bank drafts for an Elizabethtown Borough sewer and trash utility account needs this form.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details. The form does not list an address or portal.
About notarization
This document is signed without a notary; a voided check or deposit slip may be attached, and the applicant signs and dates the authorization.
How to submit this form
- 1
Download the Form
Download the Bank Draft Authorization form.
- 2
Complete the Form
Enter the utility account, service address, account holder, and bank details, and indicate whether the request is new, a change, or a cancellation.
- 3
Gather Attachments
You may attach a voided check or deposit slip for the named account.
- 4
Sign and Submit
Sign and date the authorization, then submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Bank Draft Authorization do?
- It authorizes Elizabethtown Borough to automatically withdraw the full amount of quarterly sewer and trash bills from the owner's checking or savings account.
- What information does the form request?
- It asks for utility account and service address details, account holder contact information, bank and account details, and whether the request is new, a change, or a cancellation.
- Do I need a notary for the Bank Draft Authorization?
- No. This document is signed without a notary. A voided check or deposit slip may be attached, and the applicant signs and dates the authorization.
- How do I submit the Bank Draft Authorization?
- Submit it to the city department named on the form; check the city website for current contact details. The form does not list an address or portal.