The Billing Associates Southeast | Utility Billing

INSTRUCTIONS

Please fill out the form to the right in its entirety and then simply send the form to our staff for processing. Please allow us 48 hours to process your request, any request sent on a non-business day, weekend or holiday will be processed the next business day. Note: You are only eligible for ACH if you are signed up to receive your statement by paperless ebill method.

How to enroll in paperless ebill.

Español Version

PERSONAL INFORMATION

BANKING INFORMATION

AUTHORIZATION INFORMATION

I hereby authorize Utility Payment Center to initiate debit entries to my account from the entity named above (“institution”), and I authorize the institution to accept and to debit the amount of such entries to my account. Each debit shall be made each month in an amount equal to the monthly invoice upon processing.

Send

Customer Care: (813) 513-7416Toll Free: (844) 733-9255Monday thru Friday 8am until 8pm EST

INSTRUCTIONS

PERSONAL INFORMATION

BANKING INFORMATION

AUTHORIZATION INFORMATION

Customer Care: (813) 513-7416

Toll Free: (844) 733-9255
Monday thru Friday 8am until 8pm EST