[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-283800-105":53,"doc-detail-283800-en":126},{"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":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","supplier-electronic-payment-request-ach-account-update-instructions","Supplier Electronic Payment Request - ACH Account Update Instructions","","Supplier Electronic Payment Request form for the North Carolina Office of the State Controller, enabling payees to receive payments electronically via U.S.-based banks and receive remittance information by email. The form collects required supplier identity data, remittance address, and ACH financial details including financial institution, name on account, routing number, account number, account type, and remittance email address. It also requires verification documentation such as a voided check, bank statement, or a bank authorization letter, plus contact details for new add requests.",{"@graph":63,"@context":118},[64,80,101],{"@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":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/supplier-electronic-payment-request-ach-account-update-instructions/283800/",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/supplier-electronic-payment-request-ach-account-update-instructions/283800.png","ImageObject",442,249,{"name":88,"@type":89},"Olivia Brown","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-11-03","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":15},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What types of electronic payment changes can suppliers request on this form?","Question",{"text":108,"@type":109},"Suppliers can submit a New Add Request, Change/Update Existing Account, or Inactivate Existing Account to manage ACH payment delivery.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What documentation is required to verify the supplier’s bank account?",{"text":113,"@type":109},"A copy of a voided check, current bank statement, or a bank authorization letter on bank letterhead signed by a bank representative is required for account verification.",{"name":115,"@type":106,"acceptedAnswer":116},"Which financial details must be entered for ACH processing?",{"text":117,"@type":109},"Suppliers must provide the financial institution name, name on account, nine-digit routing number, account number, account type (checking or savings), and the remittance email address.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},283800,1791069664,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":15,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},16904993612988,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","| NC Office of the State Controller See instructions for return information.\u003Cbr>Telephone: 919-707-0795 \u003Cbr>[www.osc.nc.gov](www.osc.nc.gov | ncfsepay@ncosc.gov)[ | ](www.osc.nc.gov | ncfsepay@ncosc.gov)[ncfsepay@ncosc.gov](www.osc.nc.gov | ncfsepay@ncosc.gov) | Supplier Electronic Payment Request\u003Cbr>New Add Request\u003Cbr>Change/Update Existing Account Inactivate Existing Account\u003Cbr>*Denotes a required field |\n| --- | --- |\n\nThe State of North Carolina offers payees the opportunity to receive payments electronically through U.S. based banks. In addition to having the funds deposited electronically, you will also receive remittance information by e-mail.  \nWe require you to submit a copy of a voided check, bank statement, or a bank authorization letter on bank letterhead  signed by a bank representative for account verification.   \n*TAX ID \\# or SSN             \n*PAYEE NAME    \n*REMITTANCE ADDRESS  \n\n|  |  |  |\n| --- | --- | --- |\n\n(AS PRINTED ON YOUR INVOICE)  \n*CONTACT  \nSTREET  \nCITY  \nNAME & TITLE  \nSUITE/ROOM \\#  \nSTATE ZIP CODE  \nPHONE NUMBER  \nNEW FINANCIAL INFORMATION  \n\n| *FINANCIAL INSTITUTION NAME: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| *NAME ON ACCOUNT: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| *NEW ROUTING NUMBER: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| *NEW ACCOUNT NUMBER: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| *ACCT TYPE: | Checking Savings |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| *REMIT E-MAIL ADDRESS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\nNew add requests MUST include contact information for the state agency with which you are doing business.  \n\n| *North Carolina Agency Name:\u003Cbr>Office of State Budget and Management | *North Carolina Agency Contact Name:\u003Cbr>Tonya Love |\n| --- | --- |\n| *North Carolina Agency Contact Email Address:\u003Cbr>[tonya.love@osbm.nc.gov](tonya.love@osbm.nc.gov) | *North Carolina Agency Contact Phone Number:\u003Cbr>(984) 236-0634 |\n\nPRIOR FINANCIAL INFORMATION(only required for updates)  \n\n| FINANCIAL INSTITUTION NAME: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| NAME ON ACCOUNT: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| ROUTING NUMBER: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| ACCOUNT NUMBER: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| ACCT TYPE: |  | Checking Savings |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| REMIT E-MAIL ADDRESS |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| * | ALL BOXES BELOW MUST BE REVIEWED AND CHECKED |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | I acknowledge that electronic payments to the designated account must comply with the provisions of [U.S. law](U.S. law), and the requirements of the Office of Foreign Assets Control (OFAC) . I affirm the entire amount of the payment will not be transferred to a foreign bank account. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | I authorize the Office of the State Controller to initiate ACH payments, and if necessary, adjustments for any ACH payments in error, to the financial institution and account identified on the attached certification document. This authority will remain in effect until I, the supplier cancel it in writing or the authority is terminated by the NC Office of the State Controller. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | I have attached a copy of a current voided check, current bank statement, or a bank authorization letter on bank letterhead signed by a bank representative. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| *PRINT NAME: |  |  |  |  |  |  |  |  |  |  | *DATE: |  |  |  |  | ","cbCaiovLoiR7Hqfj","https://ap.wps.com/l/cbCaiovLoiR7Hqfj","pdf",454688,"English","# New Add Request / Change / Inactivate\n## Required supplier details\n## Invoice/contact information\n## Financial institution and ACH account data\n## Prior financial information (updates)\n## Certification and signature\n## Submission instructions","[{\"question\":\"What types of electronic payment changes can suppliers request on this form?\",\"answer\":\"Suppliers can submit a New Add Request, Change/Update Existing Account, or Inactivate Existing Account to manage ACH payment delivery.\"},{\"question\":\"What documentation is required to verify the supplier’s bank account?\",\"answer\":\"A copy of a voided check, current bank statement, or a bank authorization letter on bank letterhead signed by a bank representative is required for account verification.\"},{\"question\":\"Which financial details must be entered for ACH processing?\",\"answer\":\"Suppliers must provide the financial institution name, name on account, nine-digit routing number, account number, account type (checking or savings), and the remittance email address.\"}]","Supplier Electronic Payment Request - ACH Account Update Instructions | PDF",1789619869]