Direct Utility Pay Agreement

This form is used to enroll in automatic payments for your Clearfield City utility bill.

If your request is submitted after the 20th of the month, auto withdrawal won’t be in effect until the next month.

Questions can be directed to customer service via csc@clearfieldcity.org or 801-525-2701.

Name *

First

Last

Phone Number *

Address *

Address Line 1

City

State

Utility Account Number

This can be found on your utility bill or by calling customer service. If you're unsure, leave blank and we'll look it up.

Check One *

Name of Financial Institution *

Account Number *

Routing Number *

Account Type *

Name *

First

Last

Date *

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