[Town of Wellesley] Utility Bill Direct Payment Auth

Utility Bill Direct Payment Authorization

4 Municipal Way, Wellesley, MA 02481
Tel: (781) 235-7600 Fax: (781) 237-1949

Payment of your electric, water and sewer bill has never been easier! Simply fill out this form and attach a digital copy (PDF or picture) of your voided check to begin automatic monthly payments from your checking or savings account. We need all the information in order to enroll your account(s).

Account Number

Property Location

Mailing Address

Phone Number

Would you like to receive your bill by email?

Yes

Please provide email address for your utility bill

Attach voided check

Click Here to Upload

If you don't have any checks, please supply the following information:

Bank Name

Bank Routing Number

Bank Account Number

Sign Here

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Utility Bill Direct Payment Authorization

4 Municipal Way, Wellesley, MA 02481 Tel: (781) 235-7600 Fax: (781) 237-1949

Payment of your electric, water and sewer bill has never been easier! Simply fill out this form and attach a digital copy (PDF or picture) of your voided check to begin automatic monthly payments from your checking or savings account. We need all the information in order to enroll your account(s).

If you don't have any checks, please supply the following information:

4 Municipal Way, Wellesley, MA 02481
Tel: (781) 235-7600 Fax: (781) 237-1949