Authorization for SurePay Automatic Bill
SurePay will take effect on the first monthly utility bill generated
after the SurePay Authorization is received and processed by the City of
Mesa. Any past due or current balance outstanding
at this time must be paid
You can also log in to ‘My Utility Account’ to pay your account balance
or set up recurring payments via bank draft or credit card.
(if different than service
I authorize City of Mesa to arrange a SurePay Automatic Payment
Program for me and to initiate electronic fund transfers to pay the full
utility bill for the customer named above.
I also authorize the following financial institution to
accept the fund transfers and charge my checking or savings account
shown below to pay the City of Mesa utility bills or to credit my
account if it is necessary to make corrections. To cancel this
authorization, I will contact the City of Mesa in writing or by phone.
Bank routing number (9 digit number on bottom left of check)
Bank account number
(For checking accounts, please include all numbers from the lower
left side of your check. For savings accounts, please contact your
financial institution for the correct routing and account numbers.)
||By selecting eBill, you will receive notification that your
City of Mesa utility bill is available online in addition to the
amount due and due date. Your account can be accesssed through
the following web address:
If you would prefer text eBill
sample), enter your mobile phone and service provider below:
. List 3 dates, between the 1st and the 31st of each month, when you prefer to pay your utility bill.
(Due date availability is
dependent on your scheduled read date, and all requested dates may not
Please deduct the following amount in addition to my bill amount:
Monthly contribution of your choice (All donations are allocated to local
non-profit agencies serving Mesa residents.)
||(We will round up your utility bill amount to the nearest
whole dollar amount. For example, if your bill amount is $42.37,
your round up contribution would be $.63 for a total of $43.00.
All donations are allocated to local non-profit agencies serving