2020_ACH_FORM_(2).pdf
PDF 54 KB Posted
- Solicitation number
- 25-S-037
- Issued by
- District of Columbia
About this file
This is an Authorization Agreement for Automatic Deposits (ACH Credits) form issued by the Washington Convention and Sports Authority (WCSA), also known as Events DC, in the District of Columbia. The form is a standard banking authorization document that allows WCSA to initiate credit entries and, if necessary, debit entries and adjustments to a contractor's designated checking or savings account. The authorization remains in effect until WCSA receives written termination notice from the account holder, providing the company and depository reasonable time to process the cancellation.
The form requires the contractor to provide company name, EIN or Tax ID, depository information including branch location and transit/ABA number, account number, account holder name and title, contact email, phone number, and signature. A voided check must be attached to the form to verify account information. This document is a standard requirement for vendors receiving payments from WCSA for services such as the Commercial Irrigation System Maintenance Services being solicited under this contract opportunity.
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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 .