2020_ACH_FORM_(2).pdf

PDF 54 KB Posted

Attached to
Architectural Wood Restoration
Solicitation number
25-S-053
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) in the District of Columbia for the Architectural Wood Restoration contract opportunity. 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. The agreement remains in effect until WCSA receives written termination notification from the contractor, allowing WCSA and the depository reasonable time to process the cancellation.

The form requires contractors to provide their company name, EIN or Tax ID, depository information including the bank name, branch location, transit/ABA number, and account number. Contractors must also supply a contact name, title, email address for ACH notifications, phone number, and signature, along with a voided check as supporting documentation. This ACH authorization is a standard payment processing requirement for contractors selected to perform architectural woodwork restoration services on an as-needed basis for Events DC facilities.

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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 .