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The E Check Authorization form serves as an important tool for customers of Northern Virginia Electric Cooperative (NOVEC) to streamline their electric bill payments. This form allows individuals to set up automatic deductions from their bank accounts, ensuring that their payments are made on time each month. To initiate the process, customers must complete the form by providing essential information such as their name, address, NOVEC account number, and their bank details, including the name of the bank and the bank account holder. If a customer has multiple accounts, they should list all account numbers to be included in the payment plan. Additionally, customers must authorize NOVEC to withdraw funds from either their checking or savings account by enclosing a voided check or deposit slip, respectively. It is crucial for customers to understand that they retain control over their payments, and they can discontinue the e-Check payment plan at any time by notifying NOVEC in writing. Once the form is filled out and signed, it should be mailed or delivered to the designated NOVEC location for processing, providing a convenient alternative to traditional payment methods.

Form Sample

e - Ch e ck Au t h or iz a t ion For m

Ple a se p r in t t h is f or m , com p le t e a n d sig n it , a t t a ch v oid e d ch e ck or d e p osit slip , a n d m a il or d e liv e r t o N OV EC a s in dica t e d a t t h e b ot t om of t h is f or m .

Nam e ( as show n on NOVEC bill) : ___________________________________

Addr ess: _________________________________________________________

Day t im e phone num ber : __________________________

NOVEC account num ber : ___________________

NOTE: I f y ou hav e m or e t han one account , list all account num ber s t o be included in t he e- Check pay m ent plan .

Ba n k I n f or m a t ion

Nam e of bank: ___________________

Nam e of bank account holder : ____________________

Bank account num ber : _________________

I aut hor ize t he financial inst it ut ion nam ed t o char ge m y :

Checking account ( enclose voided check )

Sav ings account ( enclose v oided deposit slip)

and r em it paym ent for m y m ont hly elect r ic bill t o NOVEC.

I under st and t hat I cont r ol m y pay m ent and if at any t im e I decide t o discont inue t he e- Check pay m ent plan, I w ill not ify Nor t her n Vir ginia Elect r ic Cooper at ive in wr it ing.

Signat ur e of aut hor ized bank account holder :

__________________________ Dat e: _____________________

I f y ou hav e any quest ions, please call one of our cust om er ser v ice r epr esent at iv es at 703 -335 - 0500 or t oll- fr ee at 1 - 888 - 335 - 0500 .

Mail completed form and voided check or deposit slip to:

NOVEC e- Ch eck Pr ogr am

P. O. Box 2710

Manassas, VA 20108 - 0875

OR Deliver t o one of t he follow ing NOVEC locat ions:

M a n a ssa s

10323 Lom ond Dr iv e Manassas, VA 20108 - 3173 Lobby Hour s: 8: 15 a. m . - 5 p. m . Pay m ent dr op box av ailable

Ga in e sv ille

5399 Wellingt on Branch Drive Gainesv ille, Vir ginia 20155 - 1616 Pay m ent dr op box av ailable

M in n ie v i ll e

14500 Minniev ille Road

Woodbr idge, Vir ginia 22193 - 0459 Lobby Hour s: 8: 15 a. m . - 5 p. m . Pay m ent dr op box av ailable

Le e sb u r g

349East Mar ket St r eet Leesbur g, Vir ginia 20176 - 4102 Pay m ent dr op box av ailable

Document Specifications

Fact Name Details
Form Purpose The E Check Authorization form allows customers to authorize NOVEC to automatically charge their bank account for monthly electric bill payments.
Required Information Customers must provide their name, address, daytime phone number, NOVEC account number, and bank details, including the name of the bank and account holder.
Discontinuation Policy Customers can stop the E Check payment plan at any time by notifying NOVEC in writing.
Applicable Law This authorization form operates under Virginia state law, which governs electronic transactions and payment authorizations.

Steps to Filling Out E Check Authorization

Once the E Check Authorization form is filled out, you will need to attach a voided check or deposit slip. After completing this, mail or deliver the form to NOVEC as indicated at the bottom. This ensures that your payment details are set up correctly for your monthly electric bill.

  1. Print the E Check Authorization form.
  2. Fill in your name as it appears on your NOVEC bill.
  3. Provide your address.
  4. Enter your daytime phone number.
  5. Include your NOVEC account number. If you have multiple accounts, list all account numbers to be included in the e-Check payment plan.
  6. Write down the name of your bank.
  7. Fill in the name of the bank account holder.
  8. Enter your bank account number.
  9. Select whether you want to charge your checking account (attach a voided check) or your savings account (attach a voided deposit slip).
  10. Sign the form as the authorized bank account holder.
  11. Write the date of signing.
  12. Contact NOVEC customer service at 703-335-0500 if you have any questions.
  13. Mail the completed form and attached voided check or deposit slip to the address provided, or deliver it to one of the specified NOVEC locations.

More About E Check Authorization

What is an E Check Authorization form?

The E Check Authorization form allows customers to authorize NOVEC to automatically withdraw electric bill payments from their bank accounts. It simplifies the payment process by allowing monthly payments to be deducted without needing manual action each month. Customers fill out the form, attach a voided check or deposit slip, and then submit it to NOVEC.

How do I complete the E Check Authorization form?

To complete the form, start by filling out your name exactly as it appears on your NOVEC bill. Then, provide your address, daytime phone number, and NOVEC account number. If you have multiple accounts, list all of them. Next, input your bank information, including the name of your bank, the account holder's name, and your bank account number. Finally, sign and date the form. Don’t forget to attach a voided check if you are using a checking account, or a deposit slip if you are using a savings account. Once everything is completed, mail or deliver it to NOVEC.

What if I want to cancel my E Check authorization?

If you decide to cancel the E Check payment plan, you need to inform NOVEC in writing. You have full control over your payments, and cancellation can be done at any time. It’s essential to notify them to ensure that future payments are not automatically charged to your account.

Where should I send the completed form?

You can mail the completed E Check Authorization form, along with your voided check or deposit slip, to: NOVEC e-Check Program, P.O. Box 2710, Manassas, VA 20108-0875. Alternatively, you have the option to deliver it in person to any of the following NOVEC locations: Manassas, Gainesville, Minnieville, or Leesburg. Each site has a payment drop box available for your convenience.

Who can I contact if I have questions about the E Check Authorization form?

If you have any questions or need assistance, you can call NOVEC’s customer service representatives at 703-335-0500 or toll-free at 1-888-335-0500. They are available to help you navigate any inquiries regarding the E Check Authorization form or account management.

Common mistakes

  1. Not including all account numbers: When filling out the form, if you have multiple NOVEC accounts, every account number must be listed. Failing to do so may delay your enrollment in the e-Check payment plan.

  2. Incorrect information: Double-check the accuracy of your name, address, and phone number. Any errors can lead to complications in processing your payment.

  3. Inadequate bank details: Ensure that you accurately provide the name of your bank and the bank account holder’s information. Missing or incorrect bank information can result in failed transactions.

  4. Failure to attach the required document: Do not forget to include a voided check or a deposit slip, depending on whether you are using a checking or savings account. This is essential for authorizing the transactions.

  5. Neglecting to sign the form: An unsigned form will be considered incomplete. Make sure to sign where indicated to confirm your authorization.

  6. Not providing a date: The form must be dated. Without a date, the authorization may not be processed in a timely manner.

  7. Failing to read the instructions: Make sure to read the instructions thoroughly. Understanding all the requirements will help ensure that your submission is complete.

  8. Inadequate mailing or delivery method: After completing the form, ensure that you mail or deliver it to the correct NOVEC addresses listed. Misplacing your form could delay your enrollment.

  9. Not contacting customer service for questions: If any part of the form is confusing, don’t hesitate to call customer service before submitting. Clarifying doubts can help you avoid mistakes.

Documents used along the form

The E Check Authorization form is an important document used by customers to authorize payments for their electric bills through electronic checks. When participating in the e-Check payment plan, several other forms and documents may also be utilized to ensure a smooth process. Below is a list of documents typically used alongside the E Check Authorization form.

  • Voided Check: This document serves as proof of the bank account to be used for electronic payments. The customer must attach a voided check to the authorization form to confirm bank details.
  • Deposit Slip: Similar to a voided check, a deposit slip can be provided for savings account authorizations. It contains the account information necessary for the e-Check process.
  • Customer Service Inquiry Form: Customers may use this form to ask questions or address concerns regarding their e-Check payments or accounts.
  • Billing Statement: This document provides a detailed account of the customer’s electricity usage and charges, which can help verify the amounts being paid through the e-Check system.
  • Change Notification Form: If a customer wishes to change their account information or discontinue e-Check payments, this form must be submitted to inform the electric company formally.
  • Account Setup Form: Some customers may need to complete an account setup form if they are new to the service or if they are establishing a new account.
  • Authorization Revocation Form: If a customer decides to cancel their e-Check authorization, this form is required to formally revoke that authorization.
  • Payment History Request Form: This document allows customers to request a history of their past e-Check payments for their records or for settling disputes.
  • Privacy Disclosure Form: Customers may need to review and acknowledge their understanding of how their personal and banking information will be used and protected during the e-Check processing.
  • Customer Compliance Agreement: This form outlines the responsibilities of both the customer and the utility provider to ensure compliance with the terms of the e-Check payment plan.

Each of these documents plays a crucial role in the management and processing of the e-Check payment plan, ensuring clear communication and proper authorization throughout the process. Customers are encouraged to understand their options and requirements fully as they engage with their utility provider.

Similar forms

The E Check Authorization form shares similarities with the Direct Debit Authorization form. Both documents serve to facilitate electronic payments directly from a bank account. In essence, by filling out the Direct Debit Authorization form, individuals grant permission to a creditor or service provider to withdraw funds from their checking or savings accounts. Essential details such as account numbers and banking information need to be provided in both forms. The underlying principle of authorization makes these two documents similar in nature, as both establish a legal agreement between the payer and the payee regarding scheduled payments.

Another document closely resembling the E Check Authorization form is the Automatic Payment Authorization form. This form allows customers to automatically pay recurring bills, such as utilities or subscriptions, from their accounts at specified intervals. The process involves sharing similar account details and expressing intent to allow a third party to withdraw funds regularly. The critical aspect of control is present in both forms, where the customer retains the power to stop payments anytime by informing the service provider in writing, highlighting the shared element of customer authorization.

The Pre-Authorized Payment Agreement bears a strong resemblance to the E Check Authorization form as well. This document is often utilized by companies to set up automatic billing for their clients. Like the E Check Authorization form, it includes fields for the customer's name, address, phone number, and bank account details. The agreement secures the consumer’s consent for recurring charges. In both cases, individuals have the right to revoke their consent at any time, emphasizing the importance of maintaining customer autonomy during the payment process.

Similar to the E Check Authorization form is the ACH (Automated Clearing House) Authorization form. This document is employed in a variety of transactions, allowing for electronic money transfers between banks. By completing an ACH Authorization, an individual permits a company or organization to debit their account periodically, similar to the payment specifics outlined in the E Check Authorization form. Both forms encompass crucial bank information and function under the overarching framework of electronic transactions, supporting the convenience of modern payment methods.

The Bank Draft Authorization form is yet another comparable document. This form enables businesses to withdraw predetermined amounts directly from an individual's bank account. Much like the E Check Authorization form, the Bank Draft Authorization requires the consumer's consent and pertinent bank details. The fundamental intent of permitting withdrawals for recurring services, like memberships or loan payments, is a shared feature that highlights the streamlined nature of these transactions.

Another document sharing similarities with the E Check Authorization form is the Online Bill Pay Enrollment form. This form allows consumers to set up automatic online payments to multiple service providers. Just as the E Check Authorization form does, Online Bill Pay requires input of banking information and account numbers. The goal remains consistent: ensuring timely payments while providing an easy and accessible approach for customers to manage their financial obligations. Control over these payments is retained, allowing consumers to adjust or discontinue them as necessary.

A Loan Payment Authorization form also aligns with the structure and intent of the E Check Authorization form. In this instance, borrowers give explicit permission for lenders to withdraw loan payments directly from their bank accounts. Both documents guide consumers in providing specific bank details and establish an agreement about recurring payments. They emphasize the importance of written authorization, underscoring a fundamental transparency in financial dealings between lenders and borrowers.

Lastly, the Payment Authorization for Recurring Payments form is similar to the E Check Authorization form in that it allows different entities to charge customers' accounts regularly for goods or services provided. Both forms require comprehensive details to be completed, including personal identification and bank account information. Notably, they both ensure customers can manage their payments effectively, giving them the peace of mind to control their finances while benefiting from the convenience of automated transactions.

Dos and Don'ts

Filling out the E Check Authorization form correctly is crucial to ensure a smooth payment process. Here’s a guide on what you should and shouldn't do:

  • Do print clearly when filling out the form to avoid misinterpretation.
  • Do ensure that all required fields, such as your name and account number, are filled out completely.
  • Do attach a voided check or deposit slip as required, depending on your bank account type.
  • Do sign the form as the authorized account holder to validate your request.
  • Don’t use a check from a different account than the one indicated on the form.
  • Don’t forget to notify NOVEC in writing if you wish to discontinue the e-Check payment plan.

Following these guidelines will help facilitate your enrollment in the e-Check program while avoiding unnecessary issues.

Misconceptions

Here are ten common misconceptions about the E Check Authorization form, along with clarifications to help you better understand its purpose and functionality.

  1. The E Check Authorization form can only be used for one account. In fact, you can include multiple accounts on the form. Simply list all account numbers that you wish to enroll in the e-Check payment plan.
  2. Providing bank information is unnecessary if I use a different payment method. The form specifically requires bank account details if you choose to make payments through the e-Check method. This information is essential for processing your payments.
  3. You must submit the form in person to enroll. While you can deliver the form, you also have the option to mail it. Just ensure that it’s completed properly and includes the required voided check or deposit slip.
  4. Once I sign the form, my enrollment is permanent. You retain full control over your payments. If you choose to discontinue the e-Check payment plan, you can do so by notifying NOVEC in writing.
  5. The bank account holder must be the same person listed on the NOVEC bill. This is not a requirement. You can have a different bank account holder as long as they are authorized and provide their signature on the form.
  6. The form can’t be changed once completed. If you need to make changes, simply fill out a new form with the correct information. Always ensure the latest form is submitted.
  7. Submitting the form doesn’t require a voided check or deposit slip. To validate your bank account details, you must provide a voided check or deposit slip as directed on the form.
  8. All personal information will be shared with third parties. Your information is kept confidential. NOVEC uses it only for processing your payments and maintaining your account.
  9. Payments will automatically continue without notification. While payments will proceed as planned, you are responsible for managing your participation in the e-Check system. Always notify NOVEC to stop or change it.
  10. There is no deadline for submitting the form. It’s wise to submit your form timely to ensure your enrollment is processed for the upcoming billing cycle. Check with NOVEC for any specific cut-off dates.

Understanding these misconceptions will help you navigate the E Check Authorization form more effectively. Should you have any questions, reach out to NOVEC’s customer service.

Key takeaways

Filling out the E Check Authorization form correctly is essential for ensuring that your payments are processed smoothly. Here are some key takeaways to keep in mind:

  1. Complete All Fields: Ensure that you fill in your name, address, and NOVEC account number accurately.
  2. Bank Information: Provide valid bank details, including the name of the bank and your account number. Attach a voided check or deposit slip for verification.
  3. Understand Your Authorization: By signing the form, you authorize NOVEC to debit your checking or savings account for your monthly electric bill.
  4. Control Over Payments: You have the ability to discontinue the e-Check plan anytime. Make sure to notify NOVEC in writing if you decide to cancel.
  5. Submission Method: After completing the form, mail it or deliver it to the specified NOVEC address or one of their locations.

Taking these steps will help ensure that your enrollment in the e-Check payment program goes smoothly and that your payments reach NOVEC on time.