Automatic Bill Pay Authorization Form

Simplify your life — avoid service and late fees! Automatically deduct your bill payment from your bank account each quarter. Complete the form below to set up Auto Pay or to update your Auto Pay information.

I authorize Plainview Water District to withdraw payments against my bank account for my water utility bill until this authorization is revoked in writing and received by Plainview Water District at least 10 business days prior to presentation of a draft; or until Plainview Water District revokes this service due to insufficient funds or other non-payments. The bank is authorized to pay these drafts when so drawn and presented for payment and to charge the same to my account. I further agree to notify Plainview Water District in writing if I withdraw this authority.

Please note that it may take up to 60 days for us to process your request and application.
* Please correct the errors above and then resubmit to continue.

Within a few days of receiving your completed form, we will process a test file to withdraw between $0.01 and $0.05 (depending on your financial institution) from your bank account. If that transaction is not successful, we will notify you. If it is successful, the money withdrawn will be redeposited and your Auto Pay will go into effect ten business days prior to the due date stated on the respective invoice. Each quarter, we will send you a statement showing the amount of your Plainview Water District bill, which is the amount that will be deducted from your bank account ten business days prior to the due date stated on the respective invoice. Please visit our FAQ page for any questions you may have regarding our Online Bill Pay services.

NOTE:
If you prefer to provide your banking information in person or by mail, click on the Automatic Bill Pay Form.  Please download, print and complete the form and provide it to the Plainview Water District.