ACH form.pdf

This document is an Electronic Funds Transfer (EFT) & Automated Clearing House (ACH) Authorization Form from the Orange County Department of Finance, located in Goshen, New York. The form is designed for vendors to set up electronic payment methods for transactions with the county, with a specific focus on enabling suppliers to receive payments through ACH transfers instead of traditional paper checks. The document encourages both new and existing county vendors to complete this form to streamline payment processes.

The form requires vendors to provide comprehensive banking and contact information, including bank routing and account numbers, contact details, and email addresses for payment notifications. Vendors must choose between submitting a new ACH application or updating existing information, and they must provide either a voided check or a bank letter as verification. The document notes that it may take one to two payment cycles before the first ACH payment is processed, and emphasizes that no emailed applications will be accepted. The form is signed by Kerry Gallagher, Commissioner of Finance, and is part of Orange County's efforts to modernize and simplify its vendor payment systems.