Get Bank Draft Cancellation Form

Filling out the Bank Draft Cancellation Form online is a straightforward process that allows you to cancel your automatic bank draft agreements with the City of Salem. This guide provides detailed instructions to help you complete the form efficiently and accurately.

Follow the steps to complete your Bank Draft Cancellation Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Enter your full name in the 'Customer Name' field. This should match the name on your utility account to ensure accurate processing.
3. Fill in your service address in the 'Service Address' field. This is the address associated with your utility services.
4. Provide your utility account number in the 'Utility Account' field. This number is typically found on your billing statement and is essential for identifying your account.
5. Read the cancellation policy outlined in the form. Confirm that you understand that the request must be made five business days prior to the payment due date for the cancellation to be effective.
6. Sign the form in the 'Authorized Signature' section to confirm your request for cancellation. This signature must match the name provided in the customer details.
7. Date the form by entering the current date in the designated 'Date' field.
8. Review all entered information for accuracy. Once confirmed, you can save changes, download, print, or share the completed form as needed.

Complete your Bank Draft Cancellation Form online today to ensure timely processing of your request.