Download ACH Authorization form

Free ACH Authorization form (Credit/Debit)

By using ACH Authorization form you authorize someone else (3rd party) to perform an Automated Clearing House (ACH) transfer on your bank account on your behalf. ACH is an electronic network for financial transactions in the United States. Automated Clearing House processes large volumes of credit and debit transactions in batches. ACH credit transfers include direct deposit payroll and vendor payments.

In this ACH form you will have to provide declaration in the following format

I (we) hereby authorize ___________________________ (THE COMPANY) to initiate entries to my (our) checking/savings accounts at the financial institution listed below (THE FINANCIAL INSTITUTION), and, if necessary, initiate adjustments for any transactions credited/debited in error. This authority will remain in effect until THE COMPANY is notified by me (us) in writing to cancel it in such time as to afford THE COMPANY and THE FINANCIAL INSTITUTION a reasonable opportunity to act on it.

Download ACH Authorization form PDF

Download Free-ACH-Authorization-Form-PDF.pdf (67KB)

Leave a Reply