By submitting this form, you authorize the City of Teague to draft your checking account for utility services two busiess days prior to the due date. Today's Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20222023202420252026 Name on Account * Service Address * Utility Billing Account # * Banking Institution Name * Bank Routing # * Bank Account # * Maximum Amount Before Notification Please attach a Voided Check to ensure accuracy of information Files must be less than 5 MB.Allowed file types: gif jpg jpeg png. Leave this field blank