ACH Authorization

Direct Deposit Authorization (ACH)

ACH=Automated Clearing House
IMPORTANT:

If your Utility Statement includes an invoice number (see below) - Do NOT fill out the form below.

Please Click Here: Login to setup AutoPay

If your Utility statement does not include an invoice number, please fill out the form below to add or update your ACH payment information.

ACH is processed on the due date or closest prior business day. If payment is returned for any reason, including incorrect account information, a $25.00 NSF fee will be added to the MeterNet account.
Name*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Service Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MeterNet Account Number (as shown on your MeterNet statement) *
Bank Name*
Name(s) on Bank Account (business name if used)*
Routing Number*
Numbers Only - No spaces please
Confirm Routing Number*
Numbers Only - No spaces please
Account Number*
Numbers Only - No spaces please
Confirm Account Number*
Numbers Only - No spaces please
OLD Routing Number
Numbers only - No spaces please
OLD Confirm Routing Number
Numbers only - No spaces please
OLD Account Number
Numbers only - No spaces please
OLD Confirm Account Number
Numbers only - No spaces please
Bank Branch*
City, State
Type of Bank Account*

Personal CheckingPersonal SavingsBusiness CheckingBusiness SavingsOther
Bank Phone Number

Area CodePhone Number
Date*

MonthDayYear
Date
Signature*

Clear
Please verify that you are human*
Should be Empty:

Direct Deposit Authorization (ACH)