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Utility Billing Bank Draft Authorization Form Utility Account Customer Name (as it appears on bank account) Daytime phone Evening Service E-Mail Want to get paperless billing? ( ) Yes, I would like to go paperless. I authorize the City of Ogden to withdraw from the bank account indicated below my utility bill. The payment will occur on or about the due date of the bill. I also understand I may discontinue this authorization at any time by giving written notice to the Ogden City Utility Billing Office. I realize this information will be used solely for the purpose of utility bill payments. Financial Bank Account ( ) Checking ( ) Savings Please return this completed form with a voided check or account verification letter from your bank to: Ogden City Utilities 133 W. 29th Street Ogden, UT 84401 [EMAIL REDACTED] This authorization must be attached to a voided check or account verification letter from your bank