Marion, VA · Smyth County
Authorization to Draft Water Bill
Marion customers use this form to authorize automatic monthly utility bill payments from a bank account.
What this form is
This form authorizes the Town of Marion to debit a customer’s bank account for monthly utility bill payments. It asks for the customer’s name, mailing address, phone number, 911 service location, bank, account number, and routing number, along with a signature and date. The form says the customer will continue receiving a monthly bill and may end the authorization by notifying the town.
Who needs it
Marion utility customers who want the town to automatically debit their bank account for monthly bill payments need 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 document is signed without a notary; the customer just signs and dates the authorization.
How to submit this form
- 1
Download The Form
Download the Authorization to Draft Water Bill PDF.
- 2
Complete The Form
Enter your customer and bank details, then sign and date the authorization.
- 3
Check Your Information
The form says it must be completed in full to begin the draft.
- 4
Submit To The Town
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- What does the Authorization to Draft Water Bill do?
- It authorizes the Town of Marion to automatically debit the customer’s bank account for monthly utility bill payments.
- What information does the form request?
- It asks for the customer’s name, mailing address, phone number, 911 service location, bank, account number, routing number, signature, and date.
- Do I need a notary for the Authorization to Draft Water Bill?
- No. This document is signed without a notary; the customer just signs and dates the authorization.
- How do I submit the Authorization to Draft Water Bill?
- The form does not specify how to submit it. Submit it to the city department named on the form; check the city website for current contact details.