2020_ACH_FORM_(2).pdf
PDF 54 KB Posted
- Attached to
- RFQ - APPLIANCE MAINTENANCE AND REPAIR SERVICES:
- Solicitation number
- 25-S-028
- Issued by
- District of Columbia
About this file
This is an Authorization Agreement for Automatic Deposits (ACH Credits) form provided by the Washington Convention and Sports Authority (WCSA), also known as Events DC, located in the District of Columbia. The form is a standard banking authorization document that allows WCSA to initiate electronic credit deposits and, if necessary, debit entries and adjustments to a vendor's designated checking or savings account. The form requires the vendor to provide essential banking information including the depository name, branch location, transit/ABA number, and account number, along with company name, EIN or Tax ID, contact person details, email address, phone number, and signature authorization.
The form establishes an ongoing authorization that remains in effect until WCSA receives written termination notice from the vendor, allowing sufficient time for both WCSA and the depository to process the request. Vendors must attach a voided check to the completed form to verify banking information accuracy. This authorization agreement is a procedural requirement associated with WCSA's RFQ for Appliance Maintenance and Repair Services and facilitates electronic payment processing for awarded contractors. The form does not contain specific contract terms, pricing information, or performance requirements but serves as a prerequisite administrative document for vendors seeking to do business with Events DC.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS (ACH CREDITS)
COMPANY NAME: _____________________________________
EIN or Tax ID of the Business: ________________________________________
I (we) hereby authorize Washington Convention and Sports Authority (WCSA), hereinafter called COMPANY, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my (our) Checking Savings account (select one) indicated below and the depository named below, hereinafter called DEPOSITORY, to credit and/or debit the same to such account.
DEPOSITORY
NAME BRANCH
CITY STATE ZIP
TRANSIT/ABA NO. ACCOUNT NO.
This authority is to remain in full force and effect until COMPANY has received written notification from me (or either of us) of its termination in such time and in such manner as to afford COMPANY and DEPOSITORY a reasonable opportunity to act on it.
NAME: __ TITLE: _______________________
Email for ACH Notification: ______________________ cc: ___________________________
PHONE #: __________________________________ DATE: ________________________
SIGNATURE:
*** ATTACH A VOIDED CHECK ***
File details come from the government source that posted it. Updated .