Electronic Funds Transfer (EFT) & Automated Clearing House (ACH) Authorization Form - Orange County Department of Finance

This is an Electronic Funds Transfer and Automated Clearing House Authorization Form issued by the Orange County Department of Finance in Goshen, New York. The form serves as a vendor enrollment and payment method authorization document rather than a traditional procurement solicitation. The form accommodates new vendors, existing vendors, Orange County employees, and current suppliers seeking to enroll in or update ACH payment arrangements with Orange County. New vendors and existing vendors must complete the form by providing company information, contact details, tax identification numbers, and authorized representative signatures. The authorization allows Orange County to initiate credit entries, debit entries, and adjustments to vendor accounts via ACH through the specified depository bank. No specific project timeline, response deadlines, or contract term is referenced in this document, as it functions as an administrative enrollment mechanism rather than a procurement action.

The form requires vendors to designate whether they maintain a checking or savings account and to provide complete banking information including bank name, routing number, and account number. Vendors must submit either a voided check or a bank letter with specification sheet bearing a local bank representative's signature to validate banking credentials. Completed original forms cannot be submitted electronically and must be returned to the Orange County Department of Finance office. The document indicates that it may take one to two payment cycles before vendors receive their first ACH payment, with questions directed to the Department of Finance. The authorization enables Orange County vendors to receive payments up to five days earlier than traditional check payments, providing financial efficiency benefits to participating vendors and the county.