8-ACH Enrollment Information - fillable (1).pdf

This is an ACH Enrollment Information form for the Harrisburg Housing Authority in Pennsylvania, used to facilitate electronic payments for contractors and vendors. The form captures essential banking and financial details necessary for automated clearinghouse (ACH) transactions, including company identification information, payment remittance contact details, and financial institution data. Contractors selected for the Randolph Street Roof Replacement project—which involves removal of the existing EPDM roof and installation of a new 60-mil TPO roofing system at the Randolph Street Administrative Building—would be required to complete this form to receive payment for services rendered.

The form requires submission of the contractor's company name, Federal Identification Number (FIN), DUNS number, and designated point of contact with email, phone, and fax information. Financial institution details must include the banking institution name and address, bank account name, bank contact information, bank transit routing number, and EFT bank account number. This standardized enrollment process ensures that the Harrisburg Housing Authority can process payments efficiently through the ACH network, reducing processing time and administrative overhead associated with traditional payment methods such as checks.