2020_ACH_FORM.pdf

This is an Authorization Agreement for Automatic Deposits (ACH Credits) form associated with the Washington Convention and Sports Authority (WCSA), operating as Events DC, for a Comprehensive Wellness Program Services contract in the District of Columbia. The form establishes the mechanism by which the selected contractor will receive payment for services rendered. The agreement authorizes WCSA to initiate credit entries to the contractor's designated checking or savings account at the specified depository institution, as well as to process debit entries and adjustments for any erroneous credit entries. The contractor must complete all required fields including company name, EIN or Tax ID, depository information with transit/ABA number and account number, and provide contact details including name, title, email, phone number, and signature. The authorization remains in full force until written termination notice is provided to both WCSA and the depository with sufficient advance notice.

The form requires submission of a voided check as an attachment to verify banking information accuracy. Notification of ACH deposits can be directed to a specified email address with optional carbon copy recipients. This document serves as a standard administrative requirement for payment processing and does not contain pricing terms, contract duration, scope modifications, or other substantive service delivery details. The form facilitates efficient electronic fund transfers for contractor compensation upon satisfactory completion of wellness program services as outlined in the related scope of work.