City of Bloomington Utilities
Authorization Agreement for Preauthorized Payments
Sign up for automatic payments
from either your checking or savings account. Your balance due will be automatically drawn each month on the due date of your bill. You will still receive a bill in the mail (or by e-mail for
E-Bill
customers) for your records showing the charges each month, but once enrolled you will never need to write a check to us again!
Customer Service Office Contact Information
Operating Hours
8:00 am to 5:00 pm M-F
Address
600 E Miller Dr
Bloomington IN 47401
Phone Number
(812) 349-3930
Email Address
utilities.cs@bloomington.in.gov
*
Field is Required
First Name
Middle Name
Last Name
Email Address
(Please provide an email address to receive a confirmation email and status updates)
Phone Number
City of Bloomington Utilities Account Number
The service address is:
Lookup Address
St Num
St Dir.
Street Name/Unit
If completing this form as an individual please complete the following.
Date of Birth
If completing this form as a company please complete the following.
Company Name
Business Customer's Federal TIN
Date of Incorporation
Name of your Financial Institution
Routing Number
Account Number
Type of Account
Please Select...
Checking
Savings
Name of your Authorizing Authority