Utility Department

______________________________________________________________________________________________________________________________________

AUTOPAY CANCELLATION

By submitting this form, I hereby authorize the City of Venice to cancel ACH debit entries to my account(s). I understand by canceling, I will resume payment of the account(s), billed by the City of Venice, which must be received by the due date of that bill to prevent the assessment of penalties.

Service Address:
Utility Account Number:
Cycle/Route:
Phone Number:
Requested Effective Date:
Email:
Draft Pending Amount? Yes No
Additional Comments: