Home > Authorization Agreement for Automatic ACH Payments Form Authorization Agreement for Automatic ACH Payments Form Ada County Trash Billing I (we) hereby authorize ADA COUNTY TRASH BILLING to initiate deductions from my/our bank account and the financial institution indicated, to debit the same to such account indicated below Solid Waste Account # Service Address(Required) Select Account(Required) Checking account Bank Name(Required) Routing #(Required) Checking Account#(Required) The routing number is the first nine digits printed on the bottom of your check and is followed by your checking account number.This authorization shall remain in full force and effect until ADA COUNTY TRASH BILLING has received written notification of its termination and accept that termination will take 30 days. Once terminated I/we understand that I/we are responsible for paying balances due by cash, check or money order. Name(s)(Required) Date(Required) MM slash DD slash YYYY Phone(Required)Customer Email(Required) Signed(Required) Signed Signer on the account is(Required) Owner Tenant Business Other Did You Remember To: Include all requested bank and account information? Sign and date the form? DEBIT DATES FOR AUTOMATIC PAYMENTS: Residential Accounts: August 10th, November 10th, February 10th, May 10th Commercial Accounts: Monthly on the 25th of each month Application must be received by our office a minimum of five business days in advance of the debit date shown above for current processing. If the payment date falls on a weekend or holiday, a debit will occur on the first business day following.CAPTCHA
