Oneonta Utilities Board

Bank Draft Form


AUTHORIZATION AGREEMENT FOR AUTOMATIC BILL PAYMENT BY BANK DRAFT

Date
Name
Address
City
State
Zip Code
Home Phone
Work Phone
Email
Utilities Board Acct. #.
Name of Financial Institution
City
State
Transit/Routing #
Checking Acct #

Please double check the routing and account number for your bank account. If the wrong information is provided, the automatic payment will be unsuccessful and a fee will be added to your account.

This form will be reviewed and processed within 1 business day. Our office will contact you via phone if we have any questions.