[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283723-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283723-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","ach-authorization-form","ACH Authorization Form","","ACH Authorization Form records account-holder consent for a company to initiate automated entries to a designated checking or savings account. It specifies required attachments such as a voided check or savings withdrawal slip and explains processing timing, including the need to submit the authorization at least 10 days before the transaction date. The form collects financial institution details, routing and account information, amount, frequency, withdrawal date, and signature and address fields, with sections reserved for bank verification and processing dates.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/ach-authorization-form/283723/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/ach-authorization-form/283723.png","ImageObject",442,249,{"name":42,"@type":43},"Hazel","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-02","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What are the required steps to complete the ACH Authorization Form?","Question",{"text":63,"@type":64},"Complete and sign the form, attach a voided check or savings withdrawal slip, and return both the original form and attachment to UniBank.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"When does UniBank process the authorization, and how early must the form be submitted?",{"text":68,"@type":64},"UniBank processes the account for automatic deduction as soon as possible after receiving the form. The authorization must reach the office at least 10 days prior to the transaction date to allow time to process the request.",{"name":70,"@type":61,"acceptedAnswer":71},"How long does the authorization remain in effect and what is required to change or revoke it?",{"text":72,"@type":64},"The authorization remains effective until the company receives written notification from the account holder. The written notification must be received at least 10 days prior to the transaction date by both the company and the financial institution.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},283723,1790040346,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":4},137441390410,"https://ap-avatar.wpscdn.com/avatar/2000252f4ab5702993?_k=1776741390130283984","ACH Authorization Form  \nInstructions: Please complete all 3 steps.  \n1. Complete and sign the form below.  \n2. Attached a voided check or a savings withdrawal slip to the form.  \n3. Return the original form and the voided check or savings withdrawal slip to UniBank.  \nNote: UniBank will process your account for automatic deduction as soon as possible after we receive your form. The authorization form must reach our office 10 days prior to transaction date to give us reasonable time to process your request.  \nI (We) hereby authorize   (The Company) to initiate entries to my (our) checking/savings account at the Financial Institution listed below, and if necessary, initiate adjustments for any transactions credited/debited in error. This authority will remain in effect until The Company is notified by me (us) in writing. I understand that the written notification will need to be received by The Company and The Financial Institution at least 10 days prior to transaction date to afford them reasonable opportunity to act on it.  \nPlease print the following information:  \nName of Financial Institution:   Routing No.   Phone No.   Checking or Savings (Circle one) Acct. No   Amount: $  Frequency: (Please circle one or fill out your own schedule):  Monthly Bi-monthly Quarterly Withdrawal Date: (circle one): 1st 10th 15th 20th or    \nUniBank Account Number: □ Checking □ Savings □ Installment Savings □ Loan Account Number:    \nName (Please Print):    \n____________________________________________________  \nSignature:    \n____________________________________________________  \nAddress (Please Print):    \n____________________________________________________  \nDate:  \n_______________  \nPlease return to: UniBank  \n􀀁 19315 Hwy. 99, Lynnwood, WA 98036  \n􀀁 9104 South Tacoma Way, Ste. A101, Lakewood, WA 98499  \n􀀁 31433 Pacific Hwy. South, Federal Way, WA 98003  \n􀀁 3640 Factoria Blvd. SE, Ste.B, Bellevue, WA 98006  \nFor Bank Use Only:  \nProcessed By/Date:  Verified By/Date:   \nRevised: 10/2013","cbCailFZxOI7BRy6","https://ap.wps.com/l/cbCailFZxOI7BRy6","pdf",114935,"English","# Instructions\n## Submission steps\n## Processing and timing\n# Authorization details\n## Financial institution and account information\n## Payment amount, frequency, and withdrawal date\n# Signature and return information\n## Return to UniBank\n## For bank use only","[{\"question\":\"What are the required steps to complete the ACH Authorization Form?\",\"answer\":\"Complete and sign the form, attach a voided check or savings withdrawal slip, and return both the original form and attachment to UniBank.\"},{\"question\":\"When does UniBank process the authorization, and how early must the form be submitted?\",\"answer\":\"UniBank processes the account for automatic deduction as soon as possible after receiving the form. The authorization must reach the office at least 10 days prior to the transaction date to allow time to process the request.\"},{\"question\":\"How long does the authorization remain in effect and what is required to change or revoke it?\",\"answer\":\"The authorization remains effective until the company receives written notification from the account holder. The written notification must be received at least 10 days prior to the transaction date by both the company and the financial institution.\"}]","ACH Authorization Form | PDF",1789617804]