(ACH) Automated Payment Authorization Form (for water and/or sewer service)

Please complete this online form and submit it.  The autopay will be set up within two business days.

SIGN UP FOR AUTOMATIC BILL PAYMENT

I authorize the City of Circleville, Department of Public Utilities, to instruct my bank institution to make my water/sewer
payments from the account listed below. I understand that I control my payments and if at any time I decide to discontinue
this payment service, I will notify the Department of Public Utilities.