E Check Authorization Form PDF Details

In today's digital age, managing utilities and bill payments has become more convenient and streamlined, thanks in large part to options like the E-Check Authorization Form provided by NOVEC. This form signifies an easy and efficient way for customers to set up monthly electric bill payments directly from their bank account, whether it be a checking or savings account. Customers are required to fill out the form, which includes providing their NOVEC account number, bank information, and a signature that authorizes NOVEC to automatically withdraw the payment amount each month. It's a simple process: just complete the form, attach a voided check or deposit slip for verification, and then mail or deliver it to NOVEC at the indicated addresses. The form not only outlines the process clearly but also assures users that they remain in control of their payments and can opt out of the plan at any time by notifying NOVEC in writing. For any questions or concerns, NOVEC has made customer service representatives readily available. This method exemplifies a streamlined, hassle-free approach to ensuring utility bills are paid on time, every time, without the need for manual intervention every billing cycle.

QuestionAnswer
Form NameE Check Authorization Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namessample check authorization form, form echeck, e check authorization form, e check form online

Form Preview Example

e - Ch e ck Au t h or iz a t ion For m

Ple a se p r in t t h is f or m , com p le t e a n d sig n it , a t t a ch v oid e d ch e ck or d e p osit slip , a n d m a il or d e liv e r t o N OV EC a s in dica t e d a t t h e b ot t om of t h is f or m .

Nam e ( as show n on NOVEC bill) : ___________________________________

Addr ess: _________________________________________________________

Day t im e phone num ber : __________________________

NOVEC account num ber : ___________________

NOTE: I f y ou hav e m or e t han one account , list all account num ber s t o be included in t he e- Check pay m ent plan .

Ba n k I n f or m a t ion

Nam e of bank: ___________________

Nam e of bank account holder : ____________________

Bank account num ber : _________________

I aut hor ize t he financial inst it ut ion nam ed t o char ge m y :

Checking account ( enclose voided check )

Sav ings account ( enclose v oided deposit slip)

and r em it paym ent for m y m ont hly elect r ic bill t o NOVEC.

I under st and t hat I cont r ol m y pay m ent and if at any t im e I decide t o discont inue t he e- Check pay m ent plan, I w ill not ify Nor t her n Vir ginia Elect r ic Cooper at ive in wr it ing.

Signat ur e of aut hor ized bank account holder :

__________________________ Dat e: _____________________

I f y ou hav e any quest ions, please call one of our cust om er ser v ice r epr esent at iv es at 703 -335 - 0500 or t oll- fr ee at 1 - 888 - 335 - 0500 .

Mail completed form and voided check or deposit slip to:

NOVEC e- Ch eck Pr ogr am

P. O. Box 2710

Manassas, VA 20108 - 0875

OR Deliver t o one of t he follow ing NOVEC locat ions:

M a n a ssa s

10323 Lom ond Dr iv e Manassas, VA 20108 - 3173 Lobby Hour s: 8: 15 a. m . - 5 p. m . Pay m ent dr op box av ailable

Ga in e sv ille

5399 Wellingt on Branch Drive Gainesv ille, Vir ginia 20155 - 1616 Pay m ent dr op box av ailable

M in n ie v i ll e

14500 Minniev ille Road

Woodbr idge, Vir ginia 22193 - 0459 Lobby Hour s: 8: 15 a. m . - 5 p. m . Pay m ent dr op box av ailable

Le e sb u r g

349East Mar ket St r eet Leesbur g, Vir ginia 20176 - 4102 Pay m ent dr op box av ailable

How to Edit E Check Authorization Form Online for Free

It's a breeze to prepare the electronic check authorization form. Our PDF tool was developed to be easy-to-use and enable you to fill in any document efficiently. These are the four steps to take:

Step 1: You should hit the orange "Get Form Now" button at the top of the website page.

Step 2: Now you can edit your electronic check authorization form. You need to use the multifunctional toolbar to add, remove, and alter the text of the document.

The following sections are what you will have to prepare to get the finished PDF form.

e check form online fields to complete

Include the essential particulars in the Dat e, I f you have any quest ions please, and free at field.

e check form online Dat e, I f you have any quest ions please, and free at blanks to insert

Step 3: Choose the "Done" button. Now it's easy to export your PDF document to your electronic device. As well as that, it is possible to send it via electronic mail.

Step 4: Create duplicates of the document - it can help you avoid forthcoming challenges. And don't be concerned - we don't publish or check your details.

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