Required fields are marked with asterisks (*)

Water Pre-Authorized Payment Plan

Complete the Water Pre-Authorized Payment Form below to allow the Township to automatically withdraw payments directly from your Bank, Trust Company or Credit Union account. You can also complete this form to communicate any changes to your exisiting Pre-Authorized Payment account information.

How does this plan work?

We provide an alternative way to pay your water bill with the convenience of automatic debit to your bank account on the installment date for the installment amount.

Once you submit this form, you will still receive a water invoice from the Township so that you are aware of the installment date and amount. The invoice will indicate you are on a Pre-Authorized Payment Plan and are not to send any payment.

Terms and Conditions

  • To participate in the plan, your water bill must be paid up to date.
  • Separate forms must be completed for each property.
  • Any changes to the plan must be received by the Treasury Department one week prior to the bill payment date.
Type of Service:
Is your mailing address the same as the property address?

Pre-Authorized Payment Plan Information


Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Termination of a Plan

To cancel participation in the plan, notice must be received in writing by our office at least one week before the bill payment date. Alternatively, if you have a MyWESTLINCOLN account, you can stop your participation in the plan directly from your account. This must be done at least a week before the bill payment date.

The Township Treasurer may cancel the privilege of continuing the plan if two payments fail to be honoured in the accounting year. Upon cancellation, penalty will be charged on any overdue balance.

If you move, change banks or bank accounts, you must notify the Treasury Department immediately and no later than one week prior to the bill payment date by calling 905-957-3346. Alternatively, you can complete this form for any banking changes you wish you make, keeping in mind it must be done at least a week before the payment date.

Pre-Authorized Debit Consent

By submitting this form, I acknowledge I have read and agree to the terms and conditions and authorize the Township of West Lincoln to debit the bank account given for regular  installment payments for the payment of water utilities (not including supplemental billing) in accordance with the plan above.

I agree to verify against my bank account to confirm the withdrawals are being made as directed. I understand that I have certain recourse rights if any debit does not comply with this agreement. For example, I have the right to receive reimbursement for any PAD that is not authorized or is not consistent with this PAD Agreement. To obtain a form for a Reimbursement Claim, or for more information on my recourse rights, I will contact my financial institution or visit


Personal information collected will be used for the purposes indicated only, in accordance with the Municipal Freedom of Information & Privacy Act. Questions regarding the collection of personal information may be directed to the Office of the Municipal Clerk.