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This template facilitates the secure collection of necessary vendor contact details, remittance information, and specific bank routing and account data required for Automated Clearing House (ACH) transfers. It includes a formal certification section where an authorized organizational representative confirms the accuracy of the provided information and grants permission for electronic deposits. The form emphasizes security by requiring manual submission to the Accounts Payable department and a verbal verification process before any payment details are registered or modified. It is an essential administrative tool for businesses establishing efficient, automated financial workflows with the U.S. Chamber, ensuring that funds are deposited directly into designated accounts while maintaining strict compliance and notification standards for any future changes or account cancellations.",{"@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/vendor-ach-direct-deposit-enrollment-form/286668/",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/vendor-ach-direct-deposit-enrollment-form/286668.png","ImageObject",442,249,{"name":88,"@type":89},"Dozel","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-24","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How do I submit the completed ACH enrollment form?","Question",{"text":108,"@type":109},"The form should be returned to the U.S. Chamber Accounts Payable department via the email address AP-ACH@USChamber.com or provided directly to your U.S. Chamber project contact.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"Is there a verbal verification process for the banking details provided?",{"text":113,"@type":109},"Yes, Accounts Payable staff will verbally confirm your bank information with you before they officially add or change any ACH payment details on your account.",{"name":115,"@type":106,"acceptedAnswer":116},"Can I use wire transfer information for this ACH enrollment?",{"text":117,"@type":109},"No, the form explicitly notes that the required information for ACH payments may differ from that used for wire transfers, and the U.S. Chamber is not offering wire transfer payments through this enrollment.","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},286668,1790142824,{"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":76,"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":139,"read_time":4},962085662650,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Vendor ACH/Direct Deposit Enrollment Form  \nThe U.S. Chamber of Commerce, and its affiliates, offers the option of ACH (Automated Clearing House) payments to vendors. Payments will be directly deposited into your organization’s designated bank account.  \nPlease provide the specific information that your bank requires to receive ACH payments on your behalf. (Note that this may not be the same information for receiving payment via wire transfer, which the U.S. Chamber isnot offering in this enrollment) .  \nPlease return the completed and signed form to AP-ACH@USChamber.com or your U.S. Chamber project contact. Accounts Payable staff will verbally confirm your information before adding or changing your ACH payment details.  \n\n| Vendor & Remittance Contact Information |\n| --- |\n| Vendor Name: |\n| Vendor Address: |\n| City, State & Zip: |\n| Contact Name: |\n| Contact Telephone: |\n| E-mail Address: |\n\n\n| Bank Information – ACH |\n| --- |\n| Bank Name: |\n| Bank Address: |\n| Bank City, State & Zip |\n| Account Type: |\n| Account Number: |\n| ACH Routing Number: |\n\n\n| Authorization |  |\n| --- | --- |\n| I certify that the above information is true and correct, and that as a representative for the above-named organization, I authorize the U.S. Chamber to electronically deposit payments to the designated bank account. This authority remains in force until the U.S. Chamber receives written notification requesting a change or cancellation. |  |\n| Printed Name: | Title: |\n| Signature: | Date: |","cbCaiffKMrSqVEwF","https://ap.wps.com/l/cbCaiffKMrSqVEwF","pdf",134780,"English","# Vendor & Remittance Contact Information\n# Bank Information – ACH\n# Authorization","[{\"question\":\"How do I submit the completed ACH enrollment form?\",\"answer\":\"The form should be returned to the U.S. Chamber Accounts Payable department via the email address AP-ACH@USChamber.com or provided directly to your U.S. Chamber project contact.\"},{\"question\":\"Is there a verbal verification process for the banking details provided?\",\"answer\":\"Yes, Accounts Payable staff will verbally confirm your bank information with you before they officially add or change any ACH payment details on your account.\"},{\"question\":\"Can I use wire transfer information for this ACH enrollment?\",\"answer\":\"No, the form explicitly notes that the required information for ACH payments may differ from that used for wire transfers, and the U.S. Chamber is not offering wire transfer payments through this enrollment.\"}]","Vendor ACH - Direct Deposit Enrollment Form | PDF",1789631406]