Canton City Utilities
306 2nd ST SE
Canton OH 44702
Phone: 330-649-8100
cantonutilities@cantonohio.gov
www.cantonutilities.com
AUTOMATIC PAYMENT FORM
Please complete and return as requested. Once auto pay is in effect, the words BANK DEDUCTION will
be displayed under Please Pay This Amount at the top/right of the invoice. The transfer of funds for
the amount due for utilities will take place on or about the due date noted on the bill.
Water Account Number: _________________________________________________________
Account Name: ________________________________________________________________
Service Address: _______________________________________________________________
Daytime phone number: _________________________________________________________
Email: ________________________________________________________________________
• In order to complete setup of Automatic Payments, please provide a copy of any canceled or
voided check (a copy of the check can be voided to not waste the actual check). If you do not
have checks, please ask your financial institution for a document which lists your routing and ac-
count numbers, or send a screenshot of the numbers from your banking app.
Please sign your name as it is listed on your account
Signature: __________________________________________________ Date: ______________
(ORIGINAL SIGNATURE REQUIRED -NO DIGITAL)
Print Name: ________________________________________________
**Return form to Canton City Utilities, 306 2
nd
ST SE, Canton OH 44702
or, email to cantonutilities@cantonohio.gov
Revised 4/5/22
