2020_ACH_FORM_(2).pdf
PDF 54 KB Posted
- Attached to
- Architectural Wood Restoration
- Solicitation number
- 25-S-035
- 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, for the District of Columbia. The form authorizes WCSA to initiate credit entries and, if necessary, debit entries and adjustments to a contractor's designated checking or savings account at a specified depository financial institution. The agreement remains in effect until WCSA receives written termination notice from the authorized signatory, allowing 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, transit/ABA number, and account number. The authorized representative must sign the form, provide their title, email address for ACH notifications, phone number, and date of authorization. A voided check must be attached to verify account information. This ACH authorization form is a standard administrative requirement for vendors working with WCSA and facilitates electronic payment processing for contract invoices and services rendered.
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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 .