[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-283933-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-283933-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-payment-authorization-form-special-needs-trust-deposit","ACH Payment Authorization Form - Special Needs Trust Deposit","","ACH Payment Authorization Form collects beneficiary and deposit details needed to electronically transfer funds into a Special Needs Trust via ACH. It gathers beneficiary name, participant number, deposit amount, deposit frequency, and first deposit date, plus originating account information such as account holder, routing number, account number, and account type. The notice explains that ACH funds first enter a Key Bank DDA before transferring to the participant trust, which may take up to ten business days. Signing authorizes scheduled charges, describes weekend/holiday timing, and requires written cancellation.",{"@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-payment-authorization-form-special-needs-trust-deposit/283933/",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-payment-authorization-form-special-needs-trust-deposit/283933.png","ImageObject",442,249,{"name":42,"@type":43},"Riley West","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-30","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 information is required to set up an ACH deposit into the Special Needs Trust?","Question",{"text":63,"@type":64},"The form requires beneficiary name, participant number, deposit amount, deposit frequency, and the date the first deposit should arrive, along with originating account information including the account holder, routing number, account number, and account type.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How long does ACH processing take and why?",{"text":68,"@type":64},"Funds deposited via ACH are first placed into a Key Bank Demand Deposit Account (DDA) and then transferred into the participant’s trust. The process may take up to ten (10) business days, and incorrect information can delay the deposit.",{"name":70,"@type":61,"acceptedAnswer":71},"What does signing the form authorize and how can the authorization be handled?",{"text":72,"@type":64},"Signing authorizes scheduled charges to the signer’s checking or savings account for the indicated amount. If the payment date falls on a weekend or holiday, execution may occur the next business day, and the authorization remains active until canceled in writing with advance notification of changes to The Arc of Northern Virginia Trust Department.","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},283933,1791447782,{"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},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","ACH Payment Authorization Form  \nIn order for funds to be electronically deposited into a Special Needs Trust via ACH, the following information is needed:  \nBeneficiary Name:   Participant Number: 800    \nAmount of deposit: $   \nFrequency of deposit:   one time  \nDate (first) deposit should come in:   \n  monthly  \nOriginating Account Information:  \nAccount Holder's Name:  Routing number:   Account number:   Bank/Institution Name:  Type of bank account:   checking   savings  \n*Please note: Funds coming into trust accounts via ACH are first deposited into a Key Bank Demand Deposit Account (DDA) and then transferred into the appropriate participant's trust. This process may take up to ten (10) business days. Inaccurate information provided on this form may delay the deposit.  \nBy signing below, I authorize scheduled charges to my checking/savings account. I will be charged the amount indicted above. If the above noted payment date falls on a weekend or holiday, I understand that the payment may be executed on the next business day. I agree no priornotification will be provided unless the date or amount changes, in which case I will notify The Arc of Northern Virginia Trust Department at least 10 days prior to the payment being collected. I understand that this authorization will remain in effect until I cancel it in writing. I acknowlege that the origination of ACH transactions to my account must comply with the provisions of the [U.S. law. I certify](U.S. law. I certify) that I am an authorized user of this bank account and will not dispute this (or these scheduled) transaction(s) with my bank.  \nPlease return the signed form to the Assistant Director of Trusts via mail, email or fax. The Arc of Northern Virginia  \n2755 Hartland Rd. Suite 200 Falls Church, VA 22043 703-208-1119 Ext. 103  \n703-982-7138 ( Private fax) [evelyn.gu@thearcofnova.org](evelyn.gu@thearcofnova.org)  \nPrint Name  \nSignature Date  \nTrust Department, Foundation of The Arc of Northern Virginia  \nPhone: 703-208-1119 2755 Hartland Road, Suite 200, Falls Church, VA 22043 Fax: 703-208-0906","cbCaiclikV97TRdu","https://ap.wps.com/l/cbCaiclikV97TRdu","pdf",423736,"English","# ACH Payment Authorization Form\n## Beneficiary and Deposit Information\n## Originating Account Information\n## ACH Processing Notice and Authorization\n## Signature, Print Name, and Return Instructions","[{\"question\":\"What information is required to set up an ACH deposit into the Special Needs Trust?\",\"answer\":\"The form requires beneficiary name, participant number, deposit amount, deposit frequency, and the date the first deposit should arrive, along with originating account information including the account holder, routing number, account number, and account type.\"},{\"question\":\"How long does ACH processing take and why?\",\"answer\":\"Funds deposited via ACH are first placed into a Key Bank Demand Deposit Account (DDA) and then transferred into the participant’s trust. The process may take up to ten (10) business days, and incorrect information can delay the deposit.\"},{\"question\":\"What does signing the form authorize and how can the authorization be handled?\",\"answer\":\"Signing authorizes scheduled charges to the signer’s checking or savings account for the indicated amount. If the payment date falls on a weekend or holiday, execution may occur the next business day, and the authorization remains active until canceled in writing with advance notification of changes to The Arc of Northern Virginia Trust Department.\"}]","ACH Payment Authorization Form - Special Needs Trust Deposit | PDF",1789622802]