Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Bank Draft Authorization

  1. City of Decatur

    Bank Draft Authorization

  2. If same as Service Address, please enter "n/a"

  3. Please Choose ONE Payment Preference*

  4. *Verify with your financial institution, prior to signing this authorization form, that the do participate in bank drafting and determine if there is a bank fee to you for this service.

  5. A copy of your voided check/deposit slip is REQUIRED and may be uploaded here, emailed to utilities@decaturtx.org, or submitted in person. We must receive a copy of your voided check/deposit slip BEFORE an ACH Bank Draft is started.

  6. Terms and Conditions

    Please check each box to acknowledge that you have read the Terms and Conditions.

  7. Terms and Conditions*

    Please check each box to acknowledge that you have read the Terms and Conditions.

  8. I hereby authorize the City of Decatur to initiate entries to my checking/savings account at the financial institution listed above and, if necessary, initiate adjustments for any transaction credited in error. This authority will remain in effect until the City of Decatur is notified by me, in writing, to cancel it in such time as to afford the financial institution and the City of Decatur to act on it.*

  9. Digital Signature

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  10. I have read agree to the above Terms and Conditions, confirm that all the information on this application is true and accurate to the best of my knowledge, and authorize the City of Decatur to INITIATE or STOP my ACH Bank Draft as indicated above.*

  11. Leave This Blank:

  12. This field is not part of the form submission.