Fill - Free fillable Wheeling Direct Pay Wheeling Direct Pay is our (Village of Wheeling) PDF form

Wheeling Direct Pay

Wheeling Direct Pay is our payment service that makes it more convenient for residents

to make utility bill payments to the Village of Wheeling.

How to apply?

Fill out this form, print it and submit with your voided check to the Village of Wheeling. The form and check can

be mailed, emailed, faxed, dropped off at t

he front desk at Village Hall or in our drop box outside of the building.

If you have any questions, please call the Water Department at (847) 459-2607 or email the address below.

Mail forms to: Water Department at 2 Community Blvd, Wheeling, IL 60090

Email forms to: Waterbilling@wheelingil.gov

Fax forms to: (847) 459-9692

How does it work?

It takes up to two billing periods from the date the application is submitted for automatic payment to

apply. Your payment is automatically taken from the account you authorize the bank to use. The payment

is directly credited to your utility account at the Village of Wheeling on the due date. You will continue to

receive a statement for your records. Your statement will read, “Wheeling Direct Paid.” Please read the

back of the form for additional information and example of bill with Wheeling Direct Paid applied.

Please fill out the information below

CustomerName:

ServiceAddress:

Mailingaddress(ifdifferent):

DaytimePhone#: ( ) ‐

NameofFinancialInstitution:

InstitutionAddress:

BankTransitRouting(ABA)#:

Account#:

Checking:Savings:

Iagreetothetermsofthisapplicationbysigninganddatingbelow:

AuthorizedSignature DateSubmitted



InitialPayment

Onceyourcompletedapplicationisreceivedit

willundergoapre‐notificationprocesswherea

testtransaction(zerodollars)iscreatedand

usedtoverifytheaccuracyofaccount

informationprovided.Shouldthepre‐

notificationtestsfail(incorrectaccountnumber

ortransitroutingnumber)youwillbenotified

andaskedtoprovidecorrectedinformation

priortobeginningautomaticpayments.Each

pre‐notificationtesttakesapproximately10

daystocomplete.Youwillknowthatautomatic

paymentsarescheduledtobeginwhenyour

monthlybillstatesthatyourbalanceis,

“WheelingDirectPaid.”Pleasecontinueto

makepaymentsuntilyourbillingstatement

indicates,WheelingDirectPaid.”

StopPayments

Stoppaymentscanbeissueduptofivebusiness

dayspriortoyourpaymentdate.Aswithchecks,

youareresponsibleforanychargesassociated

withthestoppayment.Youmayberequiredto

providewrittenconfirmationofthestop

paymenttoyourfinancialinstitution.

RecordofPayment

Yourmonthlybankstatementwillindicatethe

amountandthedateofyourautomatictransfer.

Retainthisrecordasproofofpaymentfor

futurereferenceregardingyourbilling.Ifa

questionarisesregardingyourtransferorifthe

amountdiffersfromyourbill,youmustnotifyus

andyourfinancialinstitutionwithinsixtydaysof

thedateofthequestionedstatemen

t.Your

financialinstitutionwilladviseyouofyourrights

concerninganerror.

AvailabilityofFunds

Youareresponsibleforhavingenoughmoneyin

theaccountyoudesignatedwhentheVillage

debitsyouraccount.Thereisa$25.00chargeon

allreturnedautomaticpaymentsfornon‐

sufficientfunds.

Automaticpaymentmaybe

canceledbytheVillageiftwopaymentsare

returnedwithina12monthperiod.

PaymentDate

Thepredeterminedamountwillbetransferred

fromyourbankaccountontheduedate.

Termination/AccountClosure

Yourservicewillremainineffectunlesswe

receivewrittennoticefromyou10dayspriorto

thenextscheduledbillingdateoruntilyour

serviceinterminated.Additionally,youmust

providethesamenoticeifyouhaveclosedyour

account.

Account/AddressChange

NotifytheVillageofWheelingofanyaccountor

addresschangesassoonaspossiblefor

uninterruptedbilling.Anewapplicationmustbe

filledoutif

adifferentaccountwillbeusedto

automaticallypay.

ExampleofWheelingDirectPaidBill



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