Layton City Authorization Agreement
For Payment of Utility Services by Electronic Funds Transfer (EFT)

Utility Customer Information

Financial Institution Information

Terms and Conditions

  1. This agreement is subject to the terms and conditions of the National Automated Clearing House Association (NACHA) with regard to electronic funds transfer (EFT) between banks and bank accounts.
  2. This agreement shall remain in full force and effect until the Customer or Layton City terminates the agreement. Termination shall be in writing at least 5 business days prior to any scheduled payment date. This agreement shall terminate automatically when the utility account is closed.
  3. This agreement only applies to the financial institution and account noted above. Changing financial institutions or accounts within a financial institution shall constitute a termination of this agreement. A new agreement must be submitted to reinstate EFT payments.
  4. EFT refusals by the customer’s financial institution shall constitute a returned item, similar to a returned check and the customer account will be charged the same fee as is charged for a returned check. Refusals shall include insufficient funds in the account and accounts being closed without written notice to the City.
  5. Upon acceptance and testing of the EFT payment option for this account, the City will use reasonable efforts to request utility payments on behalf of the Customer through NACHA. However, it shall remain the responsibility of the Customer to pay utility bills by cash or check if the EFT payment transfer is not successful. The City will use its best efforts to notify the Customer of any rejection or processing problems. Layton City shall be held harmless for any circumstance beyond its reasonable control.
  6. Funds will be debited (deducted) from the Customer’s financial institution account on the due date for the amount due that was printed on the utility bill. The amount deducted may change per billing and it is the Customer’s responsibility to report any billing problems to the City immediately upon receiving the bill. The City may assume the billing is proper and may proceed with EFT payment unless a problem is reported.

I hereby authorize Layton City and/or Layton City’s financial institution to initiate debits (payments) and credits (refunds or corrections) with electronic funds transfer (EFT) entries to the financial institution account listed above for the purpose of paying fees and charges on my Layton City utility account. I authorize the above named financial institution to make debits and credits to my account for the payment of my Layton City utility account. I have read and agree to the terms and conditions of this agreement.

I verify by my signature below that information I have provided the City is accurate to the best of my knowledge, and I have read the terms and conditions and agree to be bound by them.

If you are signing this application electronically, you agree that your electronic signature is the legal equivalent of your manual signature. You also agree that no certification or verification is necessary to validate your e-signature.

If you are unable to submit this form to setup autopay, you may alternatively set up an automatic payment for your utility bill by downloading this EFT Agreement Form. Follow the instructions on the form to get this service set up.