Dawson, TX · Navarro County
Water Bill Bank Draft Form
Dawson water customers use this form to authorize monthly water bill payments by bank draft from a checking or savings account.
What this form is
This form gives the City of Dawson permission to withdraw a customer’s monthly water bill payment by ACH bank draft on the last working day of each month. The customer provides the bank name, routing number, and account number, selects checking or savings, and signs the form. The arrangement remains in effect until the customer changes it in writing to the city.
Who needs it
Dawson water customers who want their monthly bill withdrawn automatically from a checking or savings account should complete this form.
How to submit it
The form lists the City of Dawson at 112 N. Main St., P.O. Box 400, Dawson, TX 76639, and [email protected]. It does not specify a submission method.
About notarization
This document is signed without a notary; the signer just signs and dates it, and the city may also ask for a blank check to verify account numbers.
How to submit this form
- 1
Download The Form
Download the Dawson Water Bill Bank Draft Form.
- 2
Complete The Form
Enter the bank name, routing number, and account number; select checking or savings; and provide the date and customer signature.
- 3
Gather Any Requested Check
The city may also ask you to furnish a blank check to verify your routing and account numbers.
- 4
Submit To The City
Use the City of Dawson mailing address or email listed on the form to ask how to submit the completed document.
Frequently asked questions
- What does the Dawson Bank Draft Form authorize?
- It authorizes the City of Dawson to withdraw a monthly water bill payment by ACH bank draft from the customer’s checking or savings account on the last working day of each month.
- What account details does the form ask for?
- The form asks for the bank name, routing number, and checking or savings account number. It also asks the customer to select the account type and sign.
- Do I need a notary for the Dawson Bank Draft Form?
- No. This form is signed without a notary. The signer just signs and dates it; the city may also ask for a blank check to verify account numbers.
- How do I submit the Dawson Bank Draft Form?
- The form lists the city’s mailing address and an email address, but does not specify a submission method. Contact the City of Dawson using the details printed on the form.