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Direct Debit Cancellation Form

  1. VCU Logo Image

  2. I (we) request that the Valparaiso City Utilities cancel my (our) Automatic Bank Payment Service. I understand that an ACH transmission can be sent up to 7 days before my due date and that it is possible that this may not take effect until my next billing cycle.

  3. Reason for Cancellation:*

  4. Leave This Blank:

  5. This field is not part of the form submission.