Auto-Pay Plan Request and Authorization Form

Thank you for your interested in an auto-pay plan with Regional Water.

Attached to this page is a fillable .pdf form.  You may type the relevant information and sign it, or print it blank and fill it in by hand.  We do not accept the final form electronically, as we need a physical voided check in order to do autopay.  The form must be delivered to our address.

Relevant Documents