Action Center / Automatic Bill Pay / Washington, IN

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Automatic Bill Pay

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To enroll in automatic bill pay and have your payment deducted from your bank account on the day that it is due, please select this service request.

(In order to be eligible for automatic bill pay, your account must be current.)

* Denotes a required field

Please Do Not Complete The Following Field

First and Last Name as they appear on your account*

Contact Email*

Primary Phone Number*

Phone Area Code-Phone 3-Phone 4 ext Extension

Address*

Address 2

City*

State*

ZIP*

Zip-Zip +4
Second portion of ZIP Code is optional.

1st Utility Account Number*

2nd Utility Account Number

3rd Utility Account Number

4th Utility Account Number

5th Utility Account Number

Financial Institution Name*

Account Type*

Checking

Savings

Routing Number*

Bank Account Number*

Name of Additional Authorized Personnel

For more information, contact the department at (812) 254-5171.

Electronic Signature*

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