Get Lafayette Utilities System Recurring Payment Form Customer Name Account # Service Address City

Filling out the Lafayette Utilities System Recurring Payment Form online is a straightforward process designed to help you set up automatic payments for your utility bills. This guide will provide you with clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. In the first section, enter your full customer name in the designated field. This should match the name on your utility account.
3. Next, fill in your account number. You can find this number on your previous utility bills.
4. Provide your service address in the space indicated. Make sure to include street number, street name, and any apartment or unit number.
5. In the city field, enter the name of your city, followed by the state and ZIP code in the respective sections.
6. Input your daytime phone number, including area code, to facilitate communication if necessary.
7. Provide your email address in the specified field for electronic communication regarding your payments.
8. Select one of the two payment options: Automatic Checking/Savings Draft Authorization or Automatic Credit/Debit Draft Authorization. Ensure to fill out only one.
9. For the chosen payment method, fill in the name and address of your banking facility or enter your credit/debit card details as required.
10. In the applicable section, fill in your bank’s ABA number or your credit/debit card number, expiration date, and check the appropriate options as indicated.
11. Attach a voided check if you are using the Automatic Checking/Savings Draft option.
12. Review all completed sections to ensure accuracy, checking for any missing information.
13. Sign the form where indicated and date it to validate your authorization.
14. Once finished, you can save the changes, download a copy, print the completed form, or share it as needed. Make sure to return the form via the designated mail or fax options provided.

Start completing your Lafayette Utilities System Recurring Payment Form online today to simplify your payment process.