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Mail signed completed form to: City of SuperiorUtilities 1316 N 14th St Room 200 Superior, WI 54880AUTOMATIC DEBIT AUTHORIZATION FORM Customer Information Customer Acct #Mailing Address if not Service

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How to fill out automatic debit authorization form

01

Obtain an automatic debit authorization form from the financial institution or company that will be debiting your account.

02

Fill out your personal information such as name, address, and contact information.

03

Provide your bank account details including account number and routing number.

04

Specify the amount and frequency of the debits that will be authorized.

05

Sign and date the form to acknowledge your consent for automatic debits to be made from your account.

Who needs automatic debit authorization form?

01

Individuals who want to set up automatic payments for bills or expenses.

02

Businesses who want to collect recurring payments from customers.

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What is automatic debit authorization form?

An automatic debit authorization form is a document that allows a company or individual to withdraw funds from a consumer's bank account on a predetermined schedule. It serves as permission for recurring transactions.

Who is required to file automatic debit authorization form?

Individuals or businesses setting up recurring payment agreements, such as utility bills, subscriptions, or loan repayments, are required to file automatic debit authorization forms.

How to fill out automatic debit authorization form?

To fill out the form, provide your bank details, the amount to be debited, the frequency of the debit, your signature, and any necessary identification information.

What is the purpose of automatic debit authorization form?

The purpose of the automatic debit authorization form is to establish a legal agreement that allows for automatic withdrawals, ensuring timely payments for services or products.

What information must be reported on automatic debit authorization form?

Essential information includes the account holder's name, bank account number, routing number, the amount to be debited, payment schedule, and the signature of the account holder.

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