Make Automatic Payments Online

Electronic Funds Transfer (EFT)

Save time and money - it's automatic, and there is no postage.
Avoid any lost or delayed checks in the mail.
Have a safe and secure payment each month.
Avoid late fees and potential harassing phone calls from your creditors.
 

Signing up is easy:

Fill out the enrollment form. Please be sure to include the $2.00 transaction fee onto your regular payment.  Allow at least 10 business days for us to process your enrollment form. Once you are enrolled, your monthly payments will automatically be transferred to us in full, and on time.

** If you choose to alter the date of withdrawal, the amount of withdrawal, or to terminate this option, please notify Cook County Consolidation at least 3 days prior to your EFT withdrawal date.

 

Complete the form below to begin the EFT process immediately:

Step 1:  Enter Name, Client ID, and Phone Number
Name:
Client ID:
Phone Number:

 

Step 2:  Select Payment Amount and Frequency

One Time Only

Date of Withdrawal:

Amount:

Monthly

Date of Monthly Withdrawal:

Amount:

I would like my 1st monthly withdrawal to be on:

 (Date)

There is a $2.00 transaction fee:

$2.00

   (Include this amount)

Total Amount of Withdrawal (including transaction fee):

 

Step 3:  Bank Account Information
Name on Bank Account:
Account Holder's Address:
City

State:

 Zip:     

Name of Bank:

(?) Routing Number:

(?) Checking Account Number:

Routing Number:  The first number in the lower-left corner of your check.  It appears between the |: and |: symbols and is usually 9 digits.

Account Number: The next number.  It appears between the second |: and the ||' symbol. Do not include the Check Number, which follows the ||' symbol.

 

Step 4:  Authorization

I authorize AAA Cook County Consolidation Inc. to process debit entries from my account.  This authority will remain in effect until I give reasonable notification to terminate this authorization or my debt is paid in full. I understand there will be a $25.00 automatically charged to my account for any insufficient funds (NSF) transactions.  This $25.00 is in addition to any fees my financial institution charges for insufficient funds.  I have attached a voided check or savings deposit slip.

 

I do NOT authorize AAA Cook Consolidation Inc. to process this transaction.

I agree to the above conditions: