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2. 
3. Road Commission for Oakland County ACH or Wire instructions:

   Persons wiring funds to the Oakland County Treasurer's Office in payment of invoices for the Road Commission for Oakland County will have to include the following information on wire and ACH transactions.  

   Once the enrollment information is received from the customer, an email will be sent with further instructions for payment remittance.

   For questions, call 877-858-4804 ext. 2241 or email tbecroft@rcoc.org

   
   

5. Customer Name
6. Contact Person
8. Address
10. City
11. State
12. Zip Code
14. Phone Number
15. Fax Number
17. Email
19. Sending Bank & Location:*
21. RCOC Contact (if known):
23. Application number:*
25. Invoice Number or other identifying information:
27. Amount Sent:
29. Type of Permit work?*
30. Location for work (include major cross roads): *
32. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
34. Electronic Signature*
35. Date*
Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field