Auto Pay Authorization Form

Please complete this form to authorize Murphys Sanitary District to set your account up on monthly auto pay. You can choose any day of the month from the 1st - 25th for payment withdrawal. By completing this form, you authorize a one time set up fee of $.50. Processing times may vary from 3-5 days. MSD will charge $35 for returned payments.

Customer # (required)

Date (required)

Service Address (required)

Email (required)

Type of Authorization (required)

Last Name (required)

First Name (required)

Mailing Address (required)

City (required)

State (required)

Zip (required)

Date of Monthly Payment (1st-25th) (required)

Regular Monthly Payment Amount (required)

Please debit payments from my (required)

Routing Number: (required)

Account Number: (required)

By typing your full name below, you authorize the District to process debit transactions to your account. You also understand that this authority will remain in effect until you provide reasonable notification to terminate the authorization.

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Website Accessibility Policy

Murphys Sanitary District is fully committed to providing accessible facilities, elements and channels of communication to all members of the public. As part of this commitment, Murphys Sanitary District has a policy of providing an accessible website compatible with the Web Content Accessibility Guidelines (WCAG 2.1) and commercial screen reading software. All features of the website are coded to allow individuals with vision and other impairments to understand and use the website to the same degree as someone without disabilities. We welcome feedback and can often resolve issues in a timely manner if they arise.

If you need any special assistance or accommodations:

Call us at (209) 728-3094

Ongoing Compliance Information

Compliance Officer

Murphys Sanitary District has designated a compliance officer for website disability-related accommodations. The compliance officer has received training in website accessibility and updates the site in accordance with those best practices. Contact our accessibility officer to report an issue.

Compliance Procedures and Reports

In addition to testing with users with a wide range of disabilities and coding our website to WCAG standards, Murphys Sanitary District regularly scans its website to ensure ongoing compliance, and makes timely changes to any inaccessible changes, if any are found.

Linked Documents and Third Parties

Please note that this site may link out to third-party websites, such as state or federal agencies, that do not have accessible content. This site may also include documents provided by third parties included in our agenda packets, for example. While we cannot control the accessibility of content provided by third parties, we are happy to assist any member of the public with reading and accessing content on our site.

See an opportunity for us to improve? Please contact our accessibility officer or call us at (209) 728-3094.

Report a Website Accessibility Issue

We are committed to your ability to access all content, and we will respond to all requests as soon as possible.