Automatic Withdrawal Authorization
To sign up for automatic withdrawal, please fill out the online form below or download and complete the printable form here: Automatic Withdrawal Authorization Form
Completed printable forms may be mailed or brought to City Hall along with a voided check from your financial institution. If you prefer to email your form and voided check, please send to Accounting Clerk Emily Light at elight@adeliowa.org
Automatic Withdrawal Authorization Forms must be submitted by the 15th of the month to be applied as the payment method for that month’s bill. Any forms submitted after the 15th will be applied to the following month’s bill.
Automatic Withdrawal Authorization
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