Online Payment - Electronic Check

Complete the form below to submit your payment by electronic check. You can also submit payment by credit card. HCS Website maintains a secure site through Thawte. Your confidentiality and privacy is our primary concern.

Please fill out the form below to submit a check for online payment. The name and contact information entered must match the information for the bank account provided.

Fields marked with an asterisk (*) are required.

Check Routing Number 
 Bank Account Number

Transaction Authorization: I confirm that I am the owner of the account identified by the bank account and check routing numbers entered in the Internet check above and authorize HCS to convert my account information entered above into a paper draft drawn on, or an electronic debit to, my account for the amount of this transaction. In the event that my paper draft or electronic debit is returned unpaid, I agree that a returned item fee also may be debited from my account electronically or drafted via paper draft.