Bank Draft – Springdale Water Utilities

Set up auto bank draft payments-(generally for new, or customers that have never had bank draft) Transfer bank draft info to new water account-(transferring current water service to a new location) Update existing bank draft info-(making a bank change, either changing banks or bank accounts) Cancel my current bank draft - (for customers wanting to stop bank draft payments)

Please select the option that applies: *

Set up auto bank draft payments
Transfer bank draft info to new water account
Update existing bank draft info
Cancel my current bank draft

Old Water Account Number or Old Service Address: *

We require a 15 day notice, prior to your due date, to change bank account information. Otherwise you may need to pay another way if we cannot draft the old bank account. Please take this into consideration.

Is it ok to draft the old bank account if needed? *

Yes
No

New Water Service Information:

Water Account Number (if known):

Name on Water Account: *

Phone Number: *

Email:

Service Address: *

Address Line 1

City

State / Province / Region

Postal Code

Name of Financial Institution: *

Routing Number: *

Bank Account Number: *

Checking or Savings? *

Checking
Savings

File Upload

Click or drag a file to this area to upload.

Upload a copy of a check

Please remember we require a 15 day notice, prior to your due date, to change bank account information. We require a 3 business day notice, prior to your due date, to stop a bank draft.

FOR NEW BANK DRAFT CUSTOMERS, CONTINUE TO MAKE YOUR PAYMENT IN YOUR USUAL MANNER UNTIL YOU RECEIVE A BILL WITH A NOTATION THAT SAYS DO NOT PAY – WILL BE DRAFTED FROM YOUR ACCOUNT.

Authorization Agreement *

I have read and agree to the ACH Bank Draft Authorization Agreement *

I (We) hereby authorize Springdale Water Utilities (SWU), to initiate variable amount debit entries to my (our) bank account for services such as water, sewer, solid waste or garbage pickup. This authority is to remain in full force and effect until this water service is terminated or until SWU has received written notification from me (or either of us) of its termination in such time and in such manner as to afford SWU and the financial banking institution a reasonable opportunity to respond accordingly.

Please Remember: We require a 3 business day notice, prior to your due date to stop a bank draft.

Cancellation of Draft Authorization *

I have read and agree to the Cancellation of Draft Authorization *

Please remove my water account from automatic bank draft. I understand that I am now responsible for making manual payments each month. This notification of termination must be submitted in such time as to afford Springdale Water Utilities a reasonable opportunity to act on it.

Date: *

Authorized Account Holder E-Signature: *