Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Bank Draft Authorization


  1. 1. Step One
  2. 2. Bank Information
  3. 3. Signature
  • Step One

    2. Must be completed by the account holder.
    3. IMPORTANT NOTE: Bank draft will begin after the account has been verified and will take at least one billing cycle to take effect. The customer will receive a bill with the notation "bank draft" once it begins. The customer will be responsible for verification of the draft. The draft will be sent to the indicated bank for payment 15 days following the "bill date" noted on the bill. If for any reason the draft needs to be canceled, this request must be submitted five (5) business days prior to the draft date. Any returned payments may result in termination of the bank draft and a service fee will be imposed in accordance with state statutes.
    4. Submit
      Completed forms may be submitted here.
    5. Email Notice
      Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public-records request, do not send electronic mail to this entity. Instead, contact this office by phone or in writing.
    6. Please type exactly as it appears on monthly invoice
    7. Name on Utility and Bank Accounts must match
    8. Please include area code
    9. Under Florida law, e-mail addresses are public records.
    10. Service Address