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 vendor payments through electronic means, encouraging both new and existing vendors to accept ACH payments instead of traditional paper checks. The document outlines the process for vendors to set up electronic payment methods, with a clear requirement that original signed forms must be submitted to the county finance office.

The form requires vendors to provide comprehensive banking and contact information, including bank routing and account numbers, contact details, and tax identification information. Vendors must choose between a voided check or a bank letter/specification sheet to verify their banking details. The form notes that it may take one to two payment cycles before the first ACH payment is processed, and vendors are required to provide at least one valid email address to receive invoice payment details. The document emphasizes that emailed applications will not be accepted, and original signed forms are mandatory for processing.