• ED4 Budget Payment Plan Recurring Payment Authorization Form

  • ACH DEBIT INFORMATION

    • You can obtain your bank details either directly from your bank or from the bottom of a check linked to the account you wish to use
    • Account Number: Must be no more than 17 digits
    • Routing/Transfer Number: Must be exactly 9 digits
    • Please ensure all bank numbers are entered without hyphens or special characters
    • Remember to upload a voided check from the bank account you want debited

  • SIGNATURE

    • The Payment Authorization Form must be signed by the individual authorized to issue checks from the account for ACH

  • INPORTANT INFORMATION

    • ACH payments cannot be processed from savings accounts or Canadian banking institutions.  Please provide a valid U.S. checking account
    • If you wish to switch your payment information, you must submit a revised Payment Authorization Form
    • Auto Payments will be processed on the 10th of each month

  • If you have any questions, please contact the District Office at:

    Phone: 520-466-7336

    Email: payments@caidd.com

  • ED4 Budget Payment Plan Recurring ACH Payment Authorization Form

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  • Customer Information

  • I hereby authorize ED4 to automatically withdraw from my Checking Account the amount needed to maintain a positive balance on my water account and to make deposits if necessary for error correction.  I authorize the Financial Institution named above to accept such transactions initiated by ED4.  The withdrawal shall be made from my account on an as needed basis to maintain a positive balance.  I am aware of my right to stop a withdrawal by notifying ED4 at any time up to three (3) business days before the withdrawal date.  If an erroneous withdrawal occurs and I notify the Financial Institution of the error within 60 days of the issuance of my account statement, the institution must investigate and resolve the error within 45 days of notification.  If the error is not resolved within the first 10 business days following receipt of my notification, my account shall be recredited for the amount in question until the investigation is completed.  (Condensed for Regulation E, Electronic Fund Transfer Act for the consumer's protection.  For more information, contact your Financial Institution.)

  • Signature Date*
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