ACH form.pdf

This document is an Electronic Funds Transfer (EFT) and Automated Clearing House (ACH) Authorization Form from the Orange County Department of Finance, located in Goshen, New York. The form is designed to set up or update vendor payment methods, with a strong emphasis on encouraging vendors to accept ACH payments instead of traditional paper checks. The county requires new vendors to complete this form and strongly encourages existing vendors to transition to electronic payments for more efficient financial transactions.

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 initiating a new ACH application or updating existing information, and they have the option to use either a checking or savings account. The document notes that it may take one to two payment cycles before the first ACH payment is processed, and original signed forms are mandatory. Email applications are not accepted, and vendors must submit physical documentation to the Orange County Department of Finance.