What does the Consumer Debit Authorization do?

It authorizes Lawrenceville Borough Authority to deduct water and sewer payments from the bank account listed on the form.

Do I need a notary for the Consumer Debit Authorization?

No. Sign and date the form without a notary. If you choose checking, include a voided check; the form does not mention a notarized attachment.

Lawrenceville, PA · Tioga County

No notary required

Consumer Debit Authorization

Lawrenceville Borough Authority’s Consumer Debit Authorization lets water and sewer customers enroll to have recurring bill payments deducted from a bank account.

What this form is

Use this form to authorize Lawrenceville Borough Authority to deduct your water and sewer payments from a checking or savings account. It asks for your name, billing address, phone number, financial institution, routing and account numbers, and signature and date. For a checking account, the form says to enclose a voided check.

Who needs it

Water or sewer customers who want Lawrenceville Borough Authority to deduct recurring payments 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 form is signed and dated without a notary; it asks for a voided check with checking accounts and mentions no sworn or notarized attachment.

How to submit this form

1
Download The Form
Download the Consumer Debit Authorization PDF.
2
Complete The Form
Enter your contact and bank account information, then sign and date the authorization.
3
Gather The Attachment
If you select checking, enclose a voided check with the form.
4
Submit To The City
Submit the completed form to the city department named on it; check the city website for current contact details.

Frequently asked questions

What does the Consumer Debit Authorization do?: It authorizes Lawrenceville Borough Authority to deduct water and sewer payments from the bank account listed on the form.
Do I need a notary for the Consumer Debit Authorization?: No. Sign and date the form without a notary. If you choose checking, include a voided check; the form does not mention a notarized attachment.
How do I submit the Consumer Debit Authorization?: The form does not give instructions for submitting it. Submit it to the city department named on the form and check the city website for current contact details.

Need something notarized?

This Consumer Debit Authorization doesn’t need a notary — but if you have another Lawrenceville form that does, a commissioned online notary can help.