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It provides a structured framework for donors to set up recurring monthly contributions directly from their checking accounts. The form requires essential personal identification, detailed gift designation preferences, and secure banking information, including routing and account numbers. It also establishes the legal terms of the authorization, noting that donations are processed on the 5th of each month and remain in effect until written revocation is provided by the donor. The document includes clear instructions for submission, requiring a physical copy along with a voided check to ensure accurate verification and processing of charitable gifts intended for the university's priority funds or scholarship programs.",{"@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/university-of-iowa-electronic-fund-transfer-authorization-form/286846/",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/university-of-iowa-electronic-fund-transfer-authorization-form/286846.png","ImageObject",442,249,{"name":88,"@type":89},"Kurz","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-20","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How are donations processed through this EFT program?","Question",{"text":108,"@type":109},"Donations are automatically deducted from the donor's checking account on the 5th day of each month.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What documentation must be submitted with this form?",{"text":113,"@type":109},"Donors must mail the completed form along with a voided check for account verification purposes.",{"name":115,"@type":106,"acceptedAnswer":116},"How can a donor revoke this EFT authorization?",{"text":117,"@type":109},"The authorization remains in effect until the donor revokes the agreement in writing.","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},286846,1789631613,{"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":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"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":125,"read_time":4},2336478945635,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","ELECTRONIC FUND TRANSFER (EFT) AUTHORIZATION FORM  \nPlease print this form, fill it out, and mail it with a voided check to:  \nThe University of Iowa Center for Advancement  \nGift Accounting Department  \nP.O. Box 4550  \nIowa City, Iowa 52244-4550  \nPhone: 319-335-3305 or 800-648-6973  \nNote: Your donation will be deducted from your checking account on the 5th of each month.  \n PERSONAL INFORMATION  \nLegal name:    \nHome address:   City:   State:   ZIP:    \nHome phone:   Business phone:   Home email:   Business email:   Are you a UI graduate?  Yes  No  \n GIFT INFORMATION (GZ000WGZAC)  \nI authorize the University of Iowa Center for Advancement to deduct from my bank account:  \n$   per month.  \nPlease designate my gift to:  Iowa Impact Fund (top UI-wide priority)  \n University-wide scholarships  \n Other area, please specify:    \n BANK INFORMATION  \nYour financial institution:   City:   State:    \nFinancial institution’s routing number:  (The nine-digit sequence of numbers appearing at the bottom of your check)  Checking account number:    \nImportant: Please enclose a voided check (not a deposit slip) for account verification.  \n AUTHORIZATION  \nI hereby authorize the University of Iowa Center for Advancement to initiate monthly debits, beginning on the 5th day of the following month and continuing each month thereafter. I understand that both the University of Iowa Center for Advancement and my financial institution reserve the right to terminate this agreement. This authority is to remain in effect until revoked by me in writing.  \nSignature:   Date:","cbCaib3kQooxHoDJ","https://ap.wps.com/l/cbCaib3kQooxHoDJ","pdf",91793,"English","# Personal Information\n# Gift Information\n# Bank Information\n# Authorization","[{\"question\":\"How are donations processed through this EFT program?\",\"answer\":\"Donations are automatically deducted from the donor's checking account on the 5th day of each month.\"},{\"question\":\"What documentation must be submitted with this form?\",\"answer\":\"Donors must mail the completed form along with a voided check for account verification purposes.\"},{\"question\":\"How can a donor revoke this EFT authorization?\",\"answer\":\"The authorization remains in effect until the donor revokes the agreement in writing.\"}]","University of Iowa Electronic Fund Transfer - Authorization Form | PDF"]