Automatic Withdrawal Authorization Form

To sign up for CWLP bill payment through automatic bank account withdrawal, click on the form graphic below to download and print out the authorization form. Complete the form and return it, along with a voided blank check or deposit slip, to the address below. Be sure to sign the form. To view and print this form, you need Adobe Acrobat Reader. To obtain a free copy, click on the Adobe Acrobat Reader icon.

Return by mail or in person to:
         CWLP Customer Service Office
         Room 101, Municipal Center West
         7th & Monroe Streets
         Springfield, IL  62757    

Last Updated:  01/07/08

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