Water & Sewer

F&V Operations

Operations and Management Company

Water Information

To sign up for the ACH monthly billing, print the form and bring in to our office.

Or, fill out the online form below and "click to send".

docx

Autopay / ACH authorization form

Utility Billing ACH Authorization Form

Please print and complete ALL the information below.

"*" indicates required fields

Account Number*

Would you like your bill emailed to you instead of mailed?*

Yes

Name*

First Last

Address*

Street Address City State ZIP / Postal Code

Email*

Phone*

Sample check showcasing routing and account numbers.

Name of Bank*

9-Digit Routing #*

Account #*

Type of Account*

Checking

Savings

Village of Metamora is hereby authorized to withdraw my total utility bill on the 15th of every month (or next business day) from the account listed above. This authorization will remain in effect until I modify or cancel it in writing.

Signature

Date

Water & Sewer

Water & Sewer

Water Information

Utility Billing ACH Authorization Form

METAMORA VILLAGE OFFICE

VILLAGE OFFICE HOURS

POLICE DEPARTMENT

FIRE DEPARTMENT