Grandview, WA · Yakima County

No notary required

Automated Payment Plan

Grandview utility customers use this authorization agreement to enroll eligible utility accounts in automatic monthly payments from a checking account.

What this form is

This agreement authorizes the City of Grandview to debit the amount due on listed utility accounts from a checking account each month. Customers complete it to enroll in the Automated Payment Plan and provide account, contact, and financial institution details. The document says to include a voided check and, for multiple utility accounts, a listing of those accounts.

Who needs it

Grandview utility customers who want monthly bills for one or more utility accounts paid automatically from a checking account need this agreement.

How to submit it

Return the completed form and a voided check to the City of Grandview, 207 West Second Street, Grandview, WA 98930; attach a listing for multiple utility accounts.

About notarization

This authorization is signed and dated without a notary; include a voided check, and attach a listing if enrolling multiple utility accounts.

How to submit this form

  1. 1

    Download The Agreement

    Download the Automated Payment Plan agreement.

  2. 2

    Complete The Form

    Enter the utility account, customer, contact, and checking account information, then sign and date the authorization.

  3. 3

    Gather Attachments

    Include a voided check. If enrolling multiple utility accounts, attach a listing of those accounts.

  4. 4

    Submit To The City

    Return the completed agreement and attachments to the City of Grandview, 207 West Second Street, Grandview, WA 98930.

Frequently asked questions

Do I need a notary for the Automated Payment Plan?
No. The authorization calls for signatures and dates, not notarization. Include a voided check, and attach a listing if you are enrolling multiple utility accounts.
How do I submit the Automated Payment Plan?
Return the completed form with a voided check to the City of Grandview at 207 West Second Street, Grandview, WA 98930. Include a listing if enrolling multiple utility accounts.
What information does the agreement ask for?
It asks for utility account numbers, customer names, phone, service addresses, email, financial institution and branch, checking account number, routing number, signatures, and dates.
When are automatic utility payments withdrawn?
The agreement says withdrawals occur on the 20th of each month, or the next working day if the 20th falls on a weekend or holiday.

Need something notarized?

This Automated Payment Plan doesn’t need a notary — but if you have another Grandview form that does, a commissioned online notary can help.