EMEP-Vendor-ACH-Form

Sep 3, 2026

This document is a Vendor ACH Form for EMEP Operating, LLC. It allows vendors to authorize EMEP to initiate automatic deposits to their bank accounts via electronic funds transfer (ACH). The form requires vendors to provide their name, address, contact information, and financial institution details, including bank name, address, account name, account number, routing/transit number, remittance email address, and account type (checking or savings). It also mandates the submission of a voided check or a letter from the financial institution for verification. The authorization section includes a statement agreeing not to hold EMEP responsible for delays or losses due to incorrect information or errors by the financial institution. The authorization remains in effect until changed or canceled with 30 days' notice to EMEP. The form specifies options for NEW ACH, CHANGE ACH, or CANCEL ACH. Instructions are provided for where to return the completed form, either by email to [EMEP-OwnerRelations@eag1source.com](mailto:EMEP-OwnerRelations@eag1source.com) or by mail to EMEP Operating, LLC, C/O EAG 1Source, Inc. at a provided Texas address.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

FAQs

What is the purpose of the EMEP Vendor ACH Form?

The form authorizes EMEP Operating, LLC to initiate automatic deposits to a vendor's bank account via electronic funds transfer (ACH).

What information is required for the Vendor/Payee?

Vendors need to provide their Name, Address, Contact Person's Name, Telephone Number, and Email Address.

What financial institution information is needed?

Required financial details include Bank Name, Bank Address, Name on Bank Account, Bank Account Number, Nine-Digit Bank Routing/Transit Number (ABA), Remittance Email Address, and Type of Account (Checking or Savings). A voided check or letter from the bank is also necessary for verification.

Sep 3, 2026

Upload by Ava Thompson