Welcome to the City of Gladstone


Completion of this form will allow the City of Gladstone to deduct payments for your water and sewer bills directly from your checking account. The City will process a test with your bank between the 1st and 10th of the month following the processing of your application. The first bill after the test will draft on the due date of the bill. Watch your bill as it will state BANK DRAFT DO NOT PAY. Continue to make payments until you see the note on your bill.
Name:
City Water Account Number:
Service Address:
Home Phone:
Work Phone:
Email Address:
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Name of Bank:
 

Please Enter your Bank Routing Number (left) and Account Number (right) in the spaces provided.

     
 
   


By submitting this application I authorize my bank to deduct water payments from my account for the City of Gladstone. I understand that I may discontinue this plan at any time and that I will notify the Gladstone Water Department. Payment for final bills will NOT be deducted automatically.

In the event of two denied payments, the City reserves the right to discontinue this payment option.