ACH_Form_(Rev._2011)_(12)_(3)_(1).pdf

This document is an Authorization Agreement for Automatic Deposits (ACH Credits) issued by the Washington Convention and Sports Authority (WCSA). The form is designed for businesses to set up electronic banking for payments, allowing WCSA to initiate credit and debit entries to a designated checking or savings account. The agreement permits automatic financial transactions and requires the business to provide complete banking details, including depository name, branch, city, state, zip code, transit/ABA number, and account number.

The document requires the business to attach a voided check and provides spaces for the company name, EIN/Tax ID, authorized signatory names, titles, and contact email. The authorization remains in effect until WCSA receives written notification of termination, ensuring both the company and depository have reasonable opportunity to process any pending transactions. The form is a standard banking authorization that facilitates electronic fund transfers between WCSA and the participating business.