Greater Peoria Sanitary District
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EZ Pay Form
*
Indicates required field
Select One
*
New EZ Pay
Changing existing EZ Pay
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
GPSD Account Number
*
Type of Account
*
Checking
Savings
Bank or Financial Institution
*
Bank Account Number
*
Upload Copy of a Voided Check
*
Max file size: 20MB
AUTHORIZATION
I hereby authorize Greater Peoria Sanitary District to instruct my bank or the financial institution named in this
application to make my Greater Peoria Sanitary District bill payments from the account listed. I understand that I am
in full control of EZ-Pay payments. I may discontinue enrollment at any time with written notice to GPSD. Both GPSD
and the financial institution reserve the right to terminate this payment plan and/or my participation in it.
Points to remember when enrolling in GPSD's EZ-Pay Program:
* Your account must have a zero balance before enrolling in this program.
* This entire authorization form must be completed and signed.
* A copy or voided check must be included.
* We must receive written verification to discontinue the EZ-Pay program.
* Any payments returned by the bank will be subject to a $30.00 service fee.
* You will continue to receive a regular billing statement that will show the amount to be deducted from your bank
account. This amount will be deducted on approximately the 10th of the month after the invoice date.
For example, if your account is billed on March 23rd, your bill amount will be deducted on approximately
April 10th.
If you have any questions, please call Customer Service at (309) 272-4804.
Submit
Home
About
History
Guiding Philosophy & Industry Involvement
Trustees and Meeting Information
Management & Personnel
News
Virtual Tour
Employment
FAQs
Customer Service
Sewer Emergencies
Payment Options
Understanding Your Bill
Credit Information
Backup Relief Programs
New Connections
Existing Connections
General Information
Ordinances & Regulations
Construction Bidding and Procurement
Required Information
Contact