Your Account 
electronic funds transfer application

Electronic Funds Transfer (EFT) Application

With EFT, NYSEG will deduct your amount due from your bank account 23 days after we mail your bill . To enroll, submit this form or complete the form on the back of your NYSEG bill payment stub. Once enrolled, your bill will list the date your payment will be deducted and your bill payment stub will display "AUTOPAY" in the "Amount Due" box.

Please note: If you have already scheduled recurring online payments through nyseg.com's e-Bill service or another online billing provider, be sure to cancel that recurring payment option to avoid duplicate monthly payments with EFT.

If you are already enrolled in EFT and need to update your bank information, you can use this form. Just indicate that you are updating your EFT Bank information and provide it below.

Please fill out the following information:


* Required Fields

 Is this a new EFT enrollment or an update of  existing EFT bank information?

 

 

 *NYSEG 11-digit Account Number

  

  *Name

  
 (exactly how it appears on your bank statement)

  Street Address

    
  Apt.

 City

  

 State

  

  ZIP Code

  

 Telephone

      Ext.

 Alternate Phone

      Ext.

 *E-Mail

  

 *Confirm E-Mail

  

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  

Bank Information

   
 

 

  

 See check sample at left. If you would prefer to
 send a voided check, follow the instructions at the
 end of this form.

*9-Digit Routing Number

  

*Bank Account Number

  

 *Name of Your Bank

  

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

  

Authorization

  

I authorize NYSEG to make arrangements with the bank or financial institution specified on this form to deduct my NYSEG payments, including any previous balance, from my checking account. I also understand that I may discontinue participation in the electronic funds transfer service at any time by informing NYSEG of my intentions in writing to NYSEG or by using the address listed on the back of my NYSEG bill. I also certify that I have read and agree to the terms and conditions of the program set forth here.  

For online submissions, type your name in the box below to serve as your acknowledgement; for mailed or e-mailed submissions, please sign below.

 

Signature*    Date  *

                                                  
                                                         


Please allow seven days for processing. Once your EFT account is set up, the payment stub of your NYSEG bill will say “AUTOPAY” in the amount due box and we will no longer include a return envelope with your bill (if you receive a paper bill).

You can also print this form and mail it to the following address:
NYSEG
P.O. Box 5240
Binghamton, NY 13902-5240

Further instructions to send a voided check or e-mail this form: Click here for a .pdf version of this form to complete and mail to the address above with a voided check. (You need a copy of Adobe Acrobat to view this file.) You can also print, complete and scan this form and e-mail it to us. Be sure to include a copy of your voided check if you do not fill out the banking information on the form.