ACH Authorization

Direct Deposit Authorization (ACH)

ACH=Automated Clearing House
To sign up for ACH payments on your account, we must have the following information on file: (Please note it could take 1 to 2 weeks for ACH to be activated/deactivated.)

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)