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Bank Draft Authorization

  1. BANK DRAFT AUTHORIZATION

  2. IMPORTANT NOTE: Bank Drafting will begin after account verification. The draft will be sent to the bank for payment 15 days following the “bill date” noted on the bill. Once bank draft begins, the bill will indicate that the account is set for bank draft. The customer is responsible for verification of the draft. Insufficient funds will result in termination of bank drafting and a service fee is imposed in accordance with State statutes.

  3. Submit

    Completed forms may be printed and delivered in person at 95 Triplet Lake Drive, Casselberry, FL 32707

  4. Email Notice

    Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.

  5. Please type exactly as it appears on monthly invoice

  6. Name on Utility and Bank Accounts must match

  7. Please include area code

  8. Under Florida law, e-mail addresses are public records.

  9. Service Address

  10. Please enter the information below very carefully. The bank can help provide this data.

  11. This is a 9 digit number

  12. Type of Account*

  13. Signature

  14. Leave This Blank: