ACH Recurring Payment Authorization Form

Schedule your ACH payment to be automatically deducted from your Checking or Savings account, for the total amount due on your water bill. Please allow up to four weeks for processing a new, change or cancel request.

Please pay your current water bill and complete the form below.


Checking/Savings Account

Account and Routing Numbers

Authorization Agreement

I hereby authorize California Sub-Meters to charge my checking or savings account by ACH electronic debit and apply the funds as indicated above. I understand that this authorization will remain in effect until I cancel it in writing and I agree to notify California Sub-Meters in writing of any changes in my account information or termination of this authorization at least four weeks prior to the next billing date. I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted transaction dates. In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF), I understand that California Sub-Meters charges $25 for each returned NSF transaction and California Sub-Meters may terminate this agreement if an NSF transaction occurs more than 3 times in a 12 month period. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized signer of this bank account and will not dispute these scheduled transactions with my bank; so long as the transactions correspond to the terms indicated in this authorization form. Your signature acknowledges that you consent to the terms above.

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