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Revenue and Assessment Services Utilities PreAuthorized Withdrawal (PAWS) Agreement MAYOR INFORMATION These services are for (check one): Personal NAME: Last, First, Initial: Business UTILITY ACCOUNT

How to fill out pre-authorized withdrawal request

Who needs pre-authorized withdrawal request?

1. Individuals who regularly pay bills or make regular transactions from their bank account can benefit from a pre-authorized withdrawal request. This can include recurring expenses such as utility bills, mortgage payments, or loan repayments.
2. Small businesses and organizations that need to automatically withdraw funds from their customers or members' bank accounts can also use pre-authorized withdrawal requests as a convenient payment method.

How to fill out pre-authorized withdrawal request:

1. Start by obtaining the pre-authorized withdrawal request form from your bank or financial institution. This form may be available online or can be requested from your local branch.
2. Fill in your personal information accurately at the top of the form. This should include your full name, address, contact details, and any other required identification information.
3. Provide the necessary banking information, such as your account number and the name of your financial institution. Double-check this information to ensure it is accurate, as any errors could lead to payment issues.
4. Indicate the amount and frequency of the withdrawals that you want to authorize. Specify the exact dollar amount and the interval at which the withdrawals should occur (e.g., monthly, bi-weekly).
5. If applicable, specify the duration during which you authorize the withdrawals. This could be a specific period or an ongoing authorization until further notice. Clarify any end date if needed.
6. Carefully review the terms and conditions provided on the form. Ensure that you understand the rights and responsibilities associated with the pre-authorized withdrawals.
7. Once you have filled out the form accurately and completely, sign and date it. Some forms may require an additional witness signature, so ensure that all required signatures are in place.
8. Submit the filled-out form to your bank or financial institution in person or through the specified submission method. Retain a copy of the form for your records.

Remember, it is important to monitor your bank account regularly to ensure that the pre-authorized withdrawals are processed correctly and that no unauthorized transactions occur.

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What is pre-authorized withdrawal request?

A pre-authorized withdrawal request is a formal request made by an individual or organization to set up automatic payments from their bank account.

Who is required to file pre-authorized withdrawal request?

Anyone who wishes to have regular payments automatically withdrawn from their bank account is required to file a pre-authorized withdrawal request.

How to fill out pre-authorized withdrawal request?

To fill out a pre-authorized withdrawal request, one must provide their bank account information, the amount to be withdrawn, the frequency of withdrawals, and the start date.

What is the purpose of pre-authorized withdrawal request?

The purpose of a pre-authorized withdrawal request is to simplify the process of making recurring payments by automating the payment process.

What information must be reported on pre-authorized withdrawal request?

The information that must be reported on a pre-authorized withdrawal request includes the payer's name, bank account number, payment amount, frequency of withdrawals, and start date.