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Authorization Agreement for Automatic Payments (ACH Debits)

Authorization Agreement for Automatic Payments (ACH Debits) 2026

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The document is an Authorization Agreement for ACH Automatic Payment for utility services in the City of Painesville, Ohio. It collects customer and financial institution information to facilitate automatic payments from a checking or savings account. The authorization remains effective until canceled in writing, and it includes instructions for stopping payments.

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Click ‘Get Form’ to open the Authorization Agreement for ACH Automatic Payment in the editor.
Begin by entering your name as it appears on your bank account in the 'Customer Information' section.
Fill in your mailing address, including city, state, and zip code. Ensure accuracy for seamless communication.
Provide your daytime phone number for any necessary follow-up regarding your application.
If your service/account address differs from your mailing address, include that information in the designated field.
Locate and enter your utility account number, which can be found on your bill.
In the 'Financial Institution Information' section, input the name of your financial institution along with the checking ABA routing number and checking account number from the bottom of your check.
Attach a voided check by uploading it directly through our platform to ensure accurate processing.
Review the authorization statement carefully before signing and dating it at the bottom of the form.
Finally, submit the completed form either by mailing it to the City of Painesville Utilities Office or emailing it along with the scanned voided check.

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2021	4.8 Satisfied (131 Votes)

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What is an ACH authorization agreement?

An Automated Clearing House (ACH) authorization is a payment authorization that gives the lender permission to electronically take money from your bank, credit union, or prepaid card account when your payment is due. You can revoke this authorization.

What is the difference between ACH and auto debit?

ACH credits are commonly used for payroll, government benefits, and bill payments, initiated by the sender. ACH debits are used for auto-bill payments, B2B transactions, and government payments, initiated by the recipient.

Is it better to pay with debit or ACH?

ACH payments can be more economical for large transactions due to lower fees, while debit card transactions offer speed and convenience for customers, making them ideal for retail environments. Offering both ACH and debit card payments positions your business to meet customer needs effectively and efficiently.

What are the two types of ACH payments?

What are the two types of ACH payments? There are two types of ACH transactions: ACH debit (pull) or credit (push).

What is an ACH auto debit?

An ACH debit transaction is a debit directly from a personal savings, personal checking, or business checking account. In some instances, business checking accounts may not permit ACH transactions. In order to conduct an ACH transaction, you will need to provide your banks routing number and your account information.

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