# DIRECT DEBIT PAYMENT AUTHORIZATION FORM

- Summary: Document Overview This is a Direct Debit Payment Authorization Form issued by the Williamsburg Municipal Authority (WMA) . It allows residents to authorize automatic withdrawals from their bank…
- Source: official borough
- Published: 
- Captured: 2026-08-10T16:49:35.826Z
- Source URL: https://drive.google.com/file/d/1OOadlebZhpHmIBFGXbMNlGKYB0KMAV3N/view?usp=sharing
- Content URL: https://hollidaysburg.ebensburg.site/document/williamsburg-pa-here-7c2d87/
- Content note: This portable copy is not the official record and may include an automated convenience summary. Verify important details in the original document.

Document Overview This is a Direct Debit Payment Authorization Form issued by the Williamsburg Municipal Authority (WMA) . It allows residents to authorize automatic withdrawals from their bank accounts for payments. Key Details Organization: Williamsburg Municipal Authority Tax ID#: 25-1201030 Instructions for Completion To use this form, the customer must provide the following information: Account Type: Select either Checking or Savings. Bank Information: Name of the bank, branch location, city, state, zip code, routing number, and account number. Customer Information: Full name and Social Security Number (SSN). Authorization: Signature and date. Important Notes & Requirements Voided Check: A voided check must be attached to the bottom of this form. Termination: The authorization remains in effect until written notification is received by the WMA. Revocation: To cancel the authorization, you must notify the WMA in writing no later than 15 days before the next transaction effective date. Bank Verification: There is an optional section for a bank representative to verify the account details.