Automatic Bill Payment

* indicates a required field.

note:

*ACH can only be added to an account for continuous scheduled payment once it has a zero balance. This is NOT a single payment service.

If you are interested in having your water bill payment automatically deducted from your checking or savings account, please provide the Authority with the following information. This information will be used for billing purposes only:

Authorization for Automatic Bill Payment

Please Complete ALL Sections and return this form:

I authorize the State College Borough Water Authority to instruct my banking/savings institution to make my water (and sewer if located in State College Borough) payment from the account listed below. I understand that I control my payments, and if at any time I decide to discontinue this payment service or if my banking institution or information changes, I will notify the Authority in writing. I understand that the addition or changes to my automatic payment must be made at least 30 days prior to the bill date of the account listed below. I acknowledge that this is not an immediate payment. ACH can only be applied once an account has a 0 balance. I understand that I am responsible for removing ANY other auto-pay that I may have set up.

Account Number *

CID number *

Name *

Date *

Service Address *

City *

State *

Zip Code *

Telephone Number *

Email Address

Signature *

Sign above

Name for Signature *

Banking Information (Bank, Savings & Loan, Credit Union)

Type of ACH

New ACH

Update ACH

Financial Institution *

Bank Account Type

Checking

Savings

Bank Account Number *

Bank Account Number Confirmation *

Routing Number *

Routing Number Confirmation *

where to find routing/account numbers check