1. Type in the information requested in the online form below.
2. Print a copy of the completed form using the "print form" button below and then sign your name on the signature line as it appears on your financial institution records.
3. Return the completed form with an original check marked "void" from the checking account you wish to have debited, to SSWD. Once your form is received and processed, your bill will be paid automatically through your financial institution.

DPS Authorization Agreement

I hereby authorize the Sacramento Suburban Water District (SSWD) to debit funds from my checking account listed above to pay SSWD bills. I understand that these automatic payments may be cancelled if I notify SSWD.