Electronic Payment Authorization Form
Once you have submitted this form to NWE to authorize Electronic Payment, it may take up to one month to process this information. Your payment will be made electronically from your financial institution on the due date on the bill. The automatic deduction will appear on your bill as "PAID BY BANK, DRAFTED ON" with the date deducted and will appear on your bank statement each month. If you change banks, accounts, or wish to cancel we need to be notified a minimum of six days prior to the automatic deduction date on your statement.
**Please do not submit form if already signed up and no changes are needed OR if not interested in signing up.
Name on Electric account (or Business Name)
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NWE Account Number(s)
NWE Property Service Address
*
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Would you like to sign up for paperless billing (email notification ONLY)?
Yes, email me statements and discontinue paper copies
4-digit Paperless Pin
To view your current statement, click the link at the bottom of the email received, enter 4 digit pin OR create an online account. (If no pin is assigned link will not be available via email)
Name on Bank Account
*
Name of Bank
*
Please choose which account to be duducted monthly from:
*
Checking
Savings
Bank Routing Number
*
Bank Account Number
*
Please complete form accurately or attach a voided check for verification if you are able.
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Please select this if you have a current balance due and authorize NWE to intiate the withdrawal on set due date. Please note: NWE would need to receive this form at least three business days prior to due date.
Yes, please pull current balance owing on account.
I hereby authorize Northwestern Wisconsin Electric Company to initiate debit entries from the above listed finnaical institution and check/savings account indicated for the amount due on my electric bill on my given due date.
Signature
*
Please verify that you are human
*
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