Bank Draft/Auto Pay Form
Authorization Agreement for Direct Payment of City Utility Bill
I hereby authorize the City of Morro Bay to initiate debit entries to my checking/saving account
I provided below for my monthly water and sewer bill on the 21
st
of each month, or closest
following business day. The City of Morro Bay may initiate a direct debit for the total amount
due.
Printed Name:
Service Address:
City of Morro Bay Account Number:
Financial Institution Information
Name of Bank: City: Sate:
(Must attach a voided check or direct debit information provided by your financial institution)
Utility Discount Donation
I hereby authorize the City of Morro Bay to direct debit a donation to the Utility Discount Fund
each month in the amount of
Signature Date:
Please call the Water Billing Desk at (805) 772-6222 if you have any questions about the Bank Draft/Auto Pay.
