Decatur County Rural Water Corporation

DCRW DOWNLOADABLE FORMS

Click here to download the DCRW Membership Application – Part 1

Click here to download the DCRW Membership Application – Part 2

Click here to download the DCRW Membership Regulations, Penalties and Policies

Click here to download the ACH Debit Agreement Form

Click here to download the Name Change Request Form

ONLINE FORMS

This field is for validation purposes and should be left unchanged.
This authorization is to remain in full force and effect until Company has received written notification from me (or either of us) of its termination in such time and in such manner as to afford Company and Depository a reasonable opportunity to act on it.
Address(Required)
Authorization
I (we) herby authorize Decatur County Rural Water Corporation, hereinafter called Company, to initiate debit entries to my (our) ____ Checking Account/ ____Savings Account (select one) indicated below at the depository financial institution named below, hereinafter called Depository, and to debit the same to such account. I (we) acknowledge that the origination of ACH transactions to my (our) account must comply with the provisions of U. S. law.
Note: all written debit authorization must provide that the receiver may revoke the authorization only by notifying the originator in the manner specified in the authorization.
Today's Date