Town of Darmstadt Authorization for Sewer Bill Autopay

Enroll in our convenient automatic debit program to ensure timely and hassle-free payment of your Darmstadt Sewer Utility bill. By authorizing automatic withdrawals from your designated bank account, you can avoid late fees and save time managing your payments. All transactions are securely processed.

To get started, simply complete the authorization form available on this page, provide the necessary banking details, and submit it securely online.

In lieu of a physical voided check or deposit slip, by clicking agree, it signifies verification that the routing number and bank account number provided are correct.

***PLEASE NOTE***
There will be a $20.00 charge for all returns. After 3 returns, your Direct Debit Agreement will be terminated. The Sewer bill payment will run automatically on the 10th day of every month or next business day.

ACH Form

Bank Information

Bank Name(Required)

Routing Number(Required)

Bank Account Number(Required)

Account Type(Required)

Checking

Savings

Personal Information

This authority is to remain in full force and effect until COMPANY has received written or verbal notification from me of its termination and in such manner as to afford COMPANY AND DEPOSITORY a reasonable opportunity to act on it.

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Account Number(s)

Signature

I would like to sign up for ACH billing.(Required)

Yes

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ALL NEW! Sign up for Sewer Bill Autopay

Town of Darmstadt Authorization for Sewer Bill Autopay

ACH Form

Bank Information

Personal Information

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