ONLINE DIRECT PAYMENT ENROLLMENT FORM

With Direct Payment for water and sewer bills, customers can save time by having their water/sewerbill payments automatically debited from their checking or savings account without having to write checks.   Each billing period you will receive a bill that states "Do not Pay, payment made by Direct Pay" which means the City will debit your checking or savings account as directed by you for the amount of the payment. Direct payment for Water and Sewer bills is the most secure, guaranteed way to pay bills because the payments are made on time every time -- it's a great way to save money by avoiding paying postage, penalties or service shut-off..

Enrollment is easy!  Simply complete steps 1-5 on the Direct Pay Enrollment Form (PDF) and mail it to the City of Madison Heights or deliver in person to the Treasury Office at City Hall. Then, allow 60 days for processing and continue to pay as you normally would until you receive a notification on your bill that the service is active.  You can also, fill out the form below to enroll online, however you still must wait 60 days for the activation. You will be notified on your bill!  It's fast and secure!

Once you enroll your enrollment will stay effective each month until you send a writen notice to the City to discontinue this service! THIS IS NOT A METHOD FOR ONE TIME ON-LINE PAYMENT!

* INDICATES A REQUIRED FIELD.

Step 1. Complete the contact information requested below.



*First Name:
*Last Name:
*Street Number:
*Street Name:
*City or Town:
*State or Province:
*Zip Code
*Phone:
Step 2.  

Please provide an email address:

Do you want to receive your bill via email Yes or No:
 
Step 3.  
Provide your City of Madison Heights Service Address The Address where the meter is located.
*Street Number  
*Street Name  
  Madison Heights, MI 48071
 
Step 4.  

 Provide your financial account information.

To ensure the correct account number is used for electronic payment and to obtain the ABA/Routing number, please enter the correct routing/transit number below. CALL YOUR FINANCIAL INSTITUTION FOR ASSISTANCE, IF NEEDED.

*Name of Financial Institution  
*ABA / Routing/Transit Number (Msut Be Nine Digits)
*Account Number

Please Select Account Number Type.

 micrsample
 
Step 5. Provide your electronic authorization, and submit form:
By entering the submittal date and clicking the “Submit” button below, I authorize the City of Madison Heights to deduct my payments from the checking or savings account listed above. I understand that I control my payments and if at any time I decided to discontinue this payment service, I will notify the City of Madison Heights Treasury Department in writing. I also understand that all information provided will remain confidential.
Enter Date as xx/xx/xxxx