MAKE YOUR FREE ACH Authorization Form
What is an ACH Authorization Form?
Sample ACH Authorization Form
The terms in your document will update based on the information you provide
This document has been customized over 5.7K times
Legally binding and enforceable
Ask a Legal Pro questions about your document
Sign this document online for free with RocketSign®
I, , authorize to charge my bank account below for on . of week.
This payment is for .
Billing Information
Billing address: , ,
Phone number:
Email:
Bank (ACH) Information
Type of account:
Name on account:
Bank name:
Bank city/state:
Account number:
Routing number:
For ACH debits to my account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted transaction date. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this bank account and will not dispute billing my bank account so long as the transaction corresponds to the terms indicated in this authorization form.
| ___________________________________ | Date: |
ACH Authorization Form FAQs
-
What is an ACH transfer?
An ACH transfer is a method of transferring money electronically between different banks. It is typically used as a replacement for writing checks or paying with a credit or debit card, which can be considered simpler and cost-efficient.
-
What information do I need to provide for an ACH transaction?
Information that is typically needed for an ACH transaction:
- Customer or business name
- Routing number
- Account number
- Transaction amount and type (e.g. one-time, recurring, etc.)
-
How do I get an ACH Authorization Form?
An ACH Authorization Form is easy to make online. our document builder will create a customized document for you after you've answered a few short questions. Consider the following details before starting your ACH Authorization Form to make the process faster:
- What type of payment will you be authorizing (one-time or recurring)?
- Why is payment being made?
- Will a fee be charged for Non-Sufficient Funds (NSF)?
- Will funds be withdrawn from a savings or checking account?
