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 to facilitate electronic payment processing for vendors, encouraging existing and new vendors to accept ACH payments instead of traditional paper checks. The document outlines the process for vendors to provide their banking information, authorize electronic credit and debit entries, and set up direct deposit for payments.

The form requires vendors to select their status (OC Employee, Existing County Supplier, or New County Supplier), provide detailed contact and banking information, and choose between a voided check or a bank letter/specification sheet for verification. Vendors must supply at least one valid email address to receive invoice payment details, and the process may take one to two payment cycles before the first ACH payment is received. The form emphasizes that no emailed applications will be accepted, and original forms must be submitted to the Orange County Department of Finance.