City of Fort Lupton, Colorado

The Finance Department of the City of Fort Lupton handles billing issues. The Utility Billing section is responsible for creating new accounts, amending or updating accounts, creating billing notices, monitoring account activity, generating delinquent account notices, making payment arrangements and determining service disconnections. Information about Utility Billing is often shown on the utility bill, in the City publication “Trapper’s Express” and on TV Channel 16.

If you would like more information or if you have any questions about your account, please call our Utility Billing Technician at (303) 857-6694 ext 113.

There are numerous ways available to you or your business when paying your utility bill:

Sign up for the direct payment plan: With this plan your utility payment is automatically deducted from your checking account. You never have to worry about paying your bill late. Please contact the utility billing technician for details on how to sign up, or fill out The Direct Payment Form and mail it to:

City of Fort Lupton Utility Department
130 South McKinley Avenue
Fort Lupton, CO 80621

Phone: You may call City Hall at (303) 857-6694 ext 113 to make a payment over the phone using your MasterCard or Visa.

Mail: You may mail your payment in the self addressed envelope provided in your monthly statement or mail it to the same address as listed above.

Drop Box: There is a drop box to the right of the main entrance at City Hall which is located at the address as listed above.

If you have received a disconnect notice, please contact our office immediately.

Direct Payment is a free service, offered by the City of Fort Lupton. Fill out this form completely, include a voided check (with the 9 digit routing number) and mail the form to us with your next bill, or fax a copy to (303)857-6090, or mail to:

City of Fort Lupton
130 S. McKinley Ave
Fort Lupton, CO 80621

Personal Information (PLEASE PRINT)

Name:	____________________________________________________________
(as it appears on your utility statement)

City of Fort Lupton Account #: ________________________________________
(as it appears on your utility statement)

Service Address: ____________________________________________________
(as it appears on your utility statement)

Telephone Number: ____________________________________________


Financial Information (PLEASE PRINT)

Name of Bank / Financial Institution
_____________________________________________________________________





Please withdraw payment directly from my:
________		Checking (include voided check)


Bank Routing (ABA) #: _______________________________________________
*The Routing (ABA) Number is a 9 digit number located in the bottom left-hand corner of your check & is unique to your financial institution

Bank Account #: _____________________________________________________


Authorized Signature: ___________________________			Date:	__________
Signature must match name on account, Application forms without valid signatures cannot be processed

I authorize the City of Fort Lupton to initiate transfers from my designated account to make monthly payments on my City of Fort Lupton utility account on the billing due date every month. This authority will remain in effect until I notify the City of Fort Lupton in writing.

PLEASE KEEP A COPY OF THIS AUTHORIZATION FORM FOR YOUR RECORDS
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For office use only:

Date Received: ____________ Clerks Signature: _____________________________