Humble, TX · Harris County

No notary required

Bank Draft Authorization Form

Water billing customers use this form to authorize the City of Humble to make automatic monthly payments from a bank account.

What this form is

This form authorizes the City of Humble to debit a customer’s bank account for automatic monthly water bill payments and to make credits or adjustments for debit errors. The customer provides their name, account number, service address, contact number, and email, then signs and dates the authorization. The form says to place a voided check on it.

Who needs it

A City of Humble water billing customer who wants to authorize automatic monthly payments from a bank account needs this form.

How to submit it

Return the signed form to the City of Humble Water Billing Department at 114 West Higgins, Humble, Texas 77338, and place a voided check on the form.

About notarization

This document is signed without a notary; the signer signs and dates the form and places a voided check on it.

How to submit this form

  1. 1

    Download the Form

    Download the Bank Draft Authorization Form for City of Humble water billing.

  2. 2

    Complete the Customer Information

    Enter your name, account number, service address, contact number, and email address.

  3. 3

    Sign and Attach a Voided Check

    Sign and date the form, then place a voided check on it.

  4. 4

    Submit to the City

    Return the form to the Water Billing Department at 114 West Higgins, Humble, Texas 77338.

Frequently asked questions

Do I need a notary for the Bank Draft Authorization Form?
No. The form has a customer signature and date line but no notary block. The signer signs and dates it and places a voided check on the form.
How do I submit the Bank Draft Authorization Form?
Return the signed form to the City of Humble Water Billing Department at 114 West Higgins, Humble, Texas 77338. Place a voided check on the form as indicated.
What information does the form ask for?
The form asks for the customer’s name, account number, service address, contact number, and email address. It also includes spaces for the customer’s signature and date.

Need something notarized?

This Bank Draft Authorization Form doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.