Automated Clearing House Payment Form

Please download and fill out the ACH Electronic Payment form

ACH Form

Please note you will need Adobe Reader to open this PDF document.

Jefferson Water & Sewer District offers automatic payment of your billing each month free! Just provide a checking or savings account and routing number on the ACH form application and submit your form with a cancelled check, and you will enjoy the assurance your bill will be paid timely at no convenience charge! Allow three to five days to process your form prior to the payment due date of your bill.

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