Form Center

Welcome to the Form Center. Here you can find a number of different forms requesting service from the City of Corinth categorized by department.
By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Bank Drafting Form

  1. The bank drafting process is very simple. Each month you will receive a bill that includes your usage and dollar amount with "Paid by Draft" at the bottom of the bill. The draft will be taken out of your bank account on the due date reflected on your statement.

    Due to the verification process, please continue to submit payments until you receive a statement marked "Paid by Draft". If payment is not submitted during the verification process, late fees could be incurred.

  2. Customer Information

  3. Bank Information

  4. Routing Information

  5. Account Type:*

  6. Billing Authorization

  7. I (we) hereby authorize "The City of Corinth Utility Billing Department" hereinafter called COMPANY, to initiate debit entries for "Monthly Utility Payment" from my (our) account indicated above and financial institution name above, hereinafter called FINANCIAL INSTITUTION, to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U.S. law.

    This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and manner as to afford COMPANY and FINANCIAL INSTITUTION a reasonable opportunity to act on it.

  8. Agreement*


  9. Leave This Blank:

  10. This field is not part of the form submission.