[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-191829-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-191829-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","vendor-authorization-agreement-for-ach-payment","Vendor Authorization Agreement for ACH Payment","","This document outlines the Vendor Authorization Agreement for ACH Payment, a form necessary for vendors to authorize direct deposit of payments. It provides instructions for completing the form, specifying the need for typed or printed information in Sections 1 and 2, followed by signature, date, and return with the Vendor package. It emphasizes the importance of reporting any account changes to DCA within ten (10) days prior to the actual change and keeping DCA informed of address changes to ensure the receipt of important information and continued qualification for payments. Section 1 focuses on the entity receiving direct deposit, capturing transaction type (Add, Change, Delete), vendor name, contact information, and federal tax ID. Section 2 details the financial institution authorized to conduct the transaction, including the institution's name, address, contact information, transit routing/ABA number, account type, and account number. The agreement grants DCA the authority to initiate credit entries to the specified account and debit entries for erroneous credits, authorizing the financial institution to perform these actions. The authority remains effective until revoked in writing by the vendor.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/vendor-authorization-agreement-for-ach-payment/191829/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/vendor-authorization-agreement-for-ach-payment/191829.png","ImageObject",442,249,{"name":42,"@type":43},"Finn","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-04","2026-09-03",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",7,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of the Vendor Authorization Agreement for ACH Payment?","Question",{"text":63,"@type":64},"This agreement authorizes DCA to initiate direct deposit payments to a vendor's account via ACH and to rectify any erroneous credit entries. It also serves to inform DCA of vendor account and address changes.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What information is required in Section 1 of the agreement?",{"text":68,"@type":64},"Section 1 requires details about the entity receiving direct deposit, including the type of transaction (Add, Change, Delete), the company or individual's name, address, contact person, email, and nine-digit Federal Tax ID.",{"name":70,"@type":61,"acceptedAnswer":71},"What information is required in Section 2 of the agreement?",{"text":72,"@type":64},"Section 2 pertains to the financial institution authorized to conduct the transaction. It requires the financial institution's name, address, contact information, nine-digit Transit Routing/ABA Number, type of account, and account number.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},191829,1788411062,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":80,"read_time":4},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","| \u003Cbr>VENDOR AUTHORIZATION AGREEMENT FOR ACH PAYMENT\u003Cbr>Directions\u003Cbr>• Type or print the information requested in Sections 1 and 2. Then sign, date, and return the form with your Vendor package.\u003Cbr>• Any account changes must be reported to DCA within ten (10) days prior to actual change. A payee must keep DCA\u003Cbr>\u003Cbr>informed of any address changes in order to receive important information about benefits and to remain qualified for payments. Please refer to the application instructions, if applicable.\u003Cbr>Section 1-Entity to Receive Direct Deposit\u003Cbr>Type of Transaction:\u003Cbr>\u003Cbr>Add\u003Cbr>\u003Cbr>Change\u003Cbr>\u003Cbr>Delete\u003Cbr>Name of Company OR Individual County Telephone\u003Cbr>Street Address City State Zip\u003Cbr>Contact Person Email\u003Cbr>\u003Cbr>9-digit Federal Tax ID\u003Cbr>Section 2-Financial Institution Authorized to Conduct Transaction\u003Cbr>Financial Institution County Telephone\u003Cbr>Street Address City State Zip\u003Cbr>\u003Cbr>9-digit Transit Routing/ABA Number\u003Cbr>Type of Account\u003Cbr>\u003Cbr>Account Number at Above Institution\u003Cbr>\u003Cbr>Whereby we authorize DCA to initiate credit entries to our account in the financial institution our account identified above and also debit entries, if necessary, for any credit entries that are determined to be in error. We additionally authorize the financial institution to credit or debit the same to our account.\u003Cbr>This authority is to remain in effect until revoked by us in writing to DCA. |  |  |\n| --- | --- | --- |\n|  | Signature Title\u003Cbr>Type or Print Name Date |  |\n|  | For DCA use only Date Received  Date Entered  Initials \u003Cbr>Rev: DCA 02/2021 |  |","cbCaitwfjH8uucft","https://ap.wps.com/l/cbCaitwfjH8uucft","pdf",168141,"English","# Vendor Authorization Agreement for ACH Payment\n## Directions\n## Section 1-Entity to Receive Direct Deposit\n## Section 2-Financial Institution Authorized to Conduct Transaction","[{\"question\":\"What is the purpose of the Vendor Authorization Agreement for ACH Payment?\",\"answer\":\"This agreement authorizes DCA to initiate direct deposit payments to a vendor's account via ACH and to rectify any erroneous credit entries. It also serves to inform DCA of vendor account and address changes.\"},{\"question\":\"What information is required in Section 1 of the agreement?\",\"answer\":\"Section 1 requires details about the entity receiving direct deposit, including the type of transaction (Add, Change, Delete), the company or individual's name, address, contact person, email, and nine-digit Federal Tax ID.\"},{\"question\":\"What information is required in Section 2 of the agreement?\",\"answer\":\"Section 2 pertains to the financial institution authorized to conduct the transaction. It requires the financial institution's name, address, contact information, nine-digit Transit Routing/ABA Number, type of account, and account number.\"}]","Vendor Authorization Agreement for ACH Payment | PDF"]