Bradford, PA · McKean County

No notary required

Water Authority Direct Withdrawal Application

Bradford City Water Authority customers use this application to authorize bank drafts for invoices and optionally request emailed bill copies.

What this form is

This application lets a customer authorize Bradford City Water Authority to draft a bank account for an invoice, up to the invoice amount. It asks for the customer’s contact and driver’s license information, bank name, checking account and routing numbers, and signature and date. Customers may also request an emailed PDF bill instead of a paper copy.

Who needs it

A Bradford City Water Authority customer who wants to authorize direct withdrawal from a bank account or request emailed bill copies needs this application.

How to submit it

Return the completed form to Bradford City Water Authority, 28 Kennedy Street, Bradford, PA 16701.

About notarization

This document is signed without a notary; the signer only needs to sign and date the authorization.

How to submit this form

  1. 1

    Download The Application

    Download the Water Authority Direct Withdrawal Application PDF.

  2. 2

    Complete The Form

    Print the requested personal and bank information, and check the optional box if you want emailed PDF bills.

  3. 3

    Gather Attachments

    The application does not list any attachments to gather.

  4. 4

    Return The Application

    Sign and date the form, then return it to Bradford City Water Authority, 28 Kennedy Street, Bradford, PA 16701.

Frequently asked questions

Do I need a notary for the Water Authority Direct Withdrawal Application?
No. This application is signed without a notary; the signer only needs to sign and date the authorization.
How do I submit the Water Authority Direct Withdrawal Application?
Return the completed application to Bradford City Water Authority at 28 Kennedy Street, Bradford, PA 16701.
What information does the application ask for?
It asks for your name, address, driver’s license number, phone number, bank name, checking account number, and nine-digit bank routing number.
Can I request an emailed copy of my bill?
Yes. The application has an optional checkbox to request a PDF copy by email instead of receiving a paper bill in the mail.

Need something notarized?

This Water Authority Direct Withdrawal Application doesn’t need a notary — but if you have another Bradford form that does, a commissioned online notary can help.