# Water and Sewer Automatic Bill Payment Application

- Summary: Automatic Bill Payment Authorization Form This is an application form from The Borough of Hollidaysburg, PA for setting up automatic payments for water and/or sewer bills. Purpose Residents can…
- Source: HollidaysburgPA.org
- Published: 
- Captured: 2026-08-10T16:49:35.826Z
- Source URL: https://hollidaysburgpa.org/wp-content/uploads/2025/12/WS5_automatic-bill-pay_adobe_Fillin.pdf
- Content URL: https://hollidaysburg.ebensburg.site/document/water-and-sewer-automatic-bill-payment-application/
- Content note: This portable copy is not the official record and may include an automated convenience summary. Verify important details in the original document.

Automatic Bill Payment Authorization Form This is an application form from The Borough of Hollidaysburg, PA for setting up automatic payments for water and/or sewer bills. Purpose Residents can authorize the Borough to automatically deduct their water/sewer payments from a bank account. Required Information Applicants must complete: Applicant Information: Name and phone number Street address, city, and zip code Service Address: Street address, city, and zip code (if different from applicant) Financial Institution Information: Name of bank, savings & loan, or credit union Account number Account type (checking or savings) Signature and Date Important Notes Residents control their payments and can discontinue the service by notifying the Borough in writing A voided check must be attached when returning the form The Borough’s contact information is provided for questions or to cancel service Contact Information Address: 401 Blair Street, Hollidaysburg, PA 16648 Phone: (814) 695-7543 Fax: (814) 696-0636 Website: www. hollidaysburgpa. org