2020_ACH_FORM.pdf
PDF 54 KB Posted
- Attached to
- ART CURATOR SERVICES
- Solicitation number
- 25-S-010
- Issued by
- District of Columbia
About this file
This document is an Authorization Agreement for Automatic Deposits (ACH Credits) form from the Washington Convention and Sports Authority (WCSA), also known as Events DC, located in the District of Columbia. The form is designed to authorize electronic financial transactions, specifically allowing WCSA to initiate credit and debit entries to a designated bank account for the purpose of facilitating payments related to the Art Curator Services contract opportunity.
The form requires detailed banking information, including the company name, tax ID, depository bank details, account type (checking or savings), transit/ABA number, and account number. The authorization remains in effect until written notification of termination is received, and the document requires the authorized representative's signature, contact information, and mandates attaching a voided check for verification purposes. This ACH authorization is a standard financial procedural document that supports the administrative and payment processes for contractors engaging with Events DC.
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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 .