Fillable Vendor ACH/Direct Deposit Authorization Form (University of San Diego)

Fill Online, Printable, Fillable, Blank Vendor ACH/Direct Deposit Authorization Form (University of San Diego) Form

Use Fill to complete blank online UNIVERSITY OF SAN DIEGO pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Vendor ACH/Direct Deposit Authorization Form (University of San Diego)

On average this form takes 5 minutes to complete

The Vendor ACH/Direct Deposit Authorization Form (University of San Diego) form is 1 page long and contains:

  • 1 signature
  • 5 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

U.S.A. forms for University of San Diego

BROWSE UNIVERSITY OF SAN DIEGO FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Vendor ACH/Direct Deposit Authorization Form
University of San Diego Office of Accounts Payable
1. Please Check One:
NEW Direct Deposit CHANGE Direct Deposit CANCEL Direct Deposit
2. Vendor/Payee Information
Name:
Address:
Contact Person’s Name (if other than payee):
Telephone Number:
Email Address:
3. Financial Institution Information
Bank Name:
Bank Address:
Name on Bank Account:
Bank Account Number:
Nine-Digit Bank Routing/Transit Number (ABA):
Type of Account: Checking Savings
4. Approvals/Authorizations -
I certify that the information provided on this form is correct, and I hereby authorize University of San Diego Office of
Accounts Payable to electronically deposit payments to the bank account designated above. It is my responsibility to notify USD AP (ap@sandiego.edu or (619)
260‐4732) immediately if I believe there is a discrepancy between the amount deposited to my bank account and the amount of the invoice(s) paid. I understand
that I must notify USD AP in writing immediately of any changes in status or banking information. I understand that this authorization will remain in full force and
effect until USD AP has received written notification requesting a change or cancellation and has had reasonable opportunity to act on it, which should take no
longer than seven (7) to ten (10) business days.
Print Name:________________________________ Signature:_________________________ Date:_______________
Important Information
Please return completed form via email: ap@sandiego.edu
For Office of Accounts Payable Use Only
Date Stamp - Received
AP Reviewed and Approved:
Date:
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Vendor ACHDirect Deposit Authorization Form (University of San Diego)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 25 March 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document