Direct Pay Sign-Up Form Direct Pay Sign-Up Form Fields marked with a red * below are required. Is the name on your Municipal Utilities Bill the same as one of the name(s) on your bank account? Yes No Since the Municipal Utilities Bill does not match the name on your bank account, we are unable to process your request at this time. If you have questions, please contact us at (217) 424-2841 or firstname.lastname@example.org. We are open 8:00 A.M. to 4:30 P.M. on normal business days. Application Type * New Change Cancel First Name * First name as it appears on your Municipal Utilities Bill Last Name * Last name as it appears on your Municipal Utilities Bill Business Name, if applicable Email Address * Enter Email Confirm Email Address * Confirm Email Phone Number * Account(s) Use 'Add' button for additional accounts Service Address * Account Number * Must be exactly 8 digits Add Remove Financial Institution Information Name of Financial Institution * Routing Number * Must be exactly 9 digits Account Type * Checking Savings Bank Account Number * Must be 1-17 digits Please contact your financial institution if you are having trouble determining your routing number or bank account number. The name(s) on the bank account and the Municipal Utilities Bill must be the same. Please continue to pay your bill until your bill indicates you are on the Direct Pay Program. I certify the information provided above is true and that I am the property owner, agent, or authorized payee of said premises. Agreement Confirmation * Check this box to indicate you read and understand the above agreement Date * Captcha If you are human, leave this field blank.