Automatic Water/Sewage Bill Payment via ACH

Automatic Water/Sewage Bill Payment via ACH Application

This form is used by residents of Ebensburg Borough, Pennsylvania, to set up automatic payments for their water and sewage bills using the Automated Clearing House (ACH) system.

What is ACH?

• ACH allows electronic transfers between your bank account and Ebensburg Borough.
• Your bank must be an ACH member (most banks are).

How to Apply:

1. Complete the entire form.
2. Attach a voided check in the designated area (Section 4) to verify your bank account details.
3. Provide your Service Address and Account Number — found on the top left corner of your invoice under “Account Info. ”
4. Enter your bank’s routing number and account number — located at the bottom of your checks or available from your bank.
   • Routing number: 9 digits
   • Account number: up to 17 digits

Authorization:

• By signing, you authorize Ebensburg Borough to withdraw funds from your listed account for bill payments.

Submission:

Mail or fax the completed form to:

Ebensburg Borough
Attn: ACH Water Bill
300 West High Street
Ebensburg, PA 15931

Fax: 814-472-8789

Important Notes:

• The form includes a sample voided check with labeled fields for routing and account numbers.
• No payment amount or specific date is mentioned — this is a setup form only.
• Residents must ensure their bank supports ACH transactions before applying.