ACH form to Sign Up for Electronic Payment of you monthly sewer invoice

June 14, 2010

Please complete this form to allow D/NSSD to pull your monthly service fee from the account you specify each month. Payment will only be drawn for your monthly sewer service invoice unless you request otherwise. Payment will be drawn on the last business day of each month. For 2015 service, payment by ACH will continue to include a $2 per month discount so your monthly fee will be $73 versus $75 per month.

2016 ACH Enrollment Form

As the form indicates, please include a voided check (copies are fine) from the account you wish to use. DO NOT include or use a deposit slip as the codes are different.

You can enroll in the ACH Payment Option at any time during the year. You will receive confirmation by e-mail of the timing and amount of your first payment.

Mail the completed form to D/NSSD, PO Box 16027, St Louis Park, MN 55416. Please contact the D/NSSD Billing Office at 218-409-2287 with any questions. Forms can also be faxed to 612-234-4740 or e-mailed to for immediate processing.

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