ACH Authorization Agreement (archived)

This application is archived and no longer live.

Online Steps

1

Applicant Full Name

2

Applicant Phone Number

3

Applicant Email Address

4

Lowell Utility Account #

5

Financial Institution Name, City, and State

6

Checking or Savings

7

Bank Transit/Routing Number

8

Bank Account Number

9

ACH Authorization Requirements

10

****YOUR ACCOUNT WILL BE DRAFTED BETWEEN THE 12TH AND 17TH OF EVERY MONTH****

11

Upload Voided Check or Bank Letter

12

City of Lowell to Initiate ACH Draft