Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

Authorization for Direct Debit

  1. I hereby authorize Uwchlan Township to debit funds from the account at the Financial Institution designated below. This authorization will remain in effect until I initiate the required stop action in such time and in such manner as to allow Uwchlan Township a reasonable opportunity to act upon it. I agree to notify Uwchlan Township if I wish to change the designated Financial Institution or account from which the funds are to be debited from 30 days prior to the effective date of such change. I understand that failure to do so may delay Uwchlan Township’s receipt of funds.

  2. Any questions regarding direct debit may be referred to 610-363-9450.

  3. Account

  4. If you are using a checking account you must attach a voided check. Deposit tickets cannot be accepted.

  5. Leave This Blank: