[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-284001-105":53,"doc-detail-284001-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","authorization-revocation-letter-template","Authorization Revocation - Letter Template","","Authorization revocation notice letter template to inform a consumer’s financial institution and the originating company that pre-authorized debit payments are terminated as of a specified date. The letter documents the consumer name, company name, account details, policy or account number, and requires signature and date. It explains that future entries can no longer be sent to the financial institution, outlines indemnification for return-related liability, and advises keeping and mailing copies by registered mail. It also clarifies that electronic debit authorizations remain effective until the originating company is notified, and that unauthorized debits require an Affidavit of Unauthorized Entry.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/authorization-revocation-letter-template/284001/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/authorization-revocation-letter-template/284001.png","ImageObject",442,249,{"name":88,"@type":89},"Liam","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-19","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",9,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What does the authorization revocation letter terminate?","Question",{"text":109,"@type":110},"It terminates the pre-authorized debit authorization agreement covering entries sent to the consumer’s financial institution. After revocation, those entries can no longer be sent for the authorization described in the notice.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What information must be included in the letter?",{"text":114,"@type":110},"The letter includes the date, consumer’s name, company name, financial institution name, account number, and the consumer’s policy number or account number with the company. It also requires a signature and date.",{"name":116,"@type":107,"acceptedAnswer":117},"How should electronic debit revocation be communicated?",{"text":118,"@type":110},"Authorizations for electronic debit payment(s) remain in effect until the consumer notifies the originating company that the authorization has been revoked. The originating company determines whether phone or written notification is required, and phone notification is recommended to be followed by written notification.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},284001,1790049223,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},8796095461564,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","AUTHORIZATION REVOCATION  \nDate   \nCompany Name  Dept.  Address   \nCity, State, Zip   \nAs of the date listed above, I__________________________________ hereby notify  \n(Consumer’s Name)  \nyou,  , to terminate the authorization agreement covering the (Company’s Name)  \npre-authorized debit to my account  with my financial  \n(Account Number)  \ninstitution,  . My policy number or account (Receiving Financial Institution’s Name)  \nnumber with your company is  .  \nPlease be advised that with this revocation you can no longer send these entries to my financial institution. I indemnify my financial institution from any and all liability associated with the return of future entries.  \nIn addition to notifying you of my revocation, I will keep a copy of this notice and provide a copy to my financial institution.  \n(Signature) Date  \nAuthorizations for electronic debit payment(s) remain in effect until the consumer notifies the originating company that the authorization has been revoked. The originating company determines whether phone notification or written notification is required to revoke an authorization. It is recommended that all phone notifications by the consumer be followed by written notification to the originating company. The sample letter above can be used by consumers to revoke their authorization and should be mailed to the originating company immediately, by registered mail. If an unauthorized debit is sent to a consumer’s account, an Affidavit of Unauthorized Entry must be completed and signed by the consumer for the unauthorized entry to be returned.","cbCaih7mZIJhy10a","https://ap.wps.com/l/cbCaih7mZIJhy10a","pdf",70803,"English","# Authorization Revocation Notice\n## Parties and Account Details\n## Revocation Effects and Indemnification\n## Copy Retention and Notification Process\n## Electronic Debit Authorization and Unauthorized Entries","[{\"question\":\"What does the authorization revocation letter terminate?\",\"answer\":\"It terminates the pre-authorized debit authorization agreement covering entries sent to the consumer’s financial institution. After revocation, those entries can no longer be sent for the authorization described in the notice.\"},{\"question\":\"What information must be included in the letter?\",\"answer\":\"The letter includes the date, consumer’s name, company name, financial institution name, account number, and the consumer’s policy number or account number with the company. It also requires a signature and date.\"},{\"question\":\"How should electronic debit revocation be communicated?\",\"answer\":\"Authorizations for electronic debit payment(s) remain in effect until the consumer notifies the originating company that the authorization has been revoked. The originating company determines whether phone or written notification is required, and phone notification is recommended to be followed by written notification.\"}]","Authorization Revocation - Letter Template | PDF",1789624691]