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Authorized Bank Withdrawal - Forms - Government of Alberta

Authorized Bank Withdrawal - Forms - Government of Alberta 2026

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The document is an Authorized Bank Withdrawal form for the Maintenance Enforcement Program (MEP) in Alberta, allowing payors to authorize automatic withdrawals for maintenance payments from their bank accounts. It outlines the necessary personal information, payment options, and terms and conditions regarding the authorization, including rights to dispute transactions and procedures for cancellation.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out your personal information. Use dark ink for clarity. Include your first name, last name, daytime phone number, address, city, province/territory, and postal code.
Select your payment preferences. Choose between recurring payments (monthly, bi-weekly, weekly, or semi-monthly) or a one-time payment. Specify the amount and relevant dates for each option.
Attach a personalized cheque marked 'VOID' or have a financial institution officer complete the required bank account information section. Ensure that the bank account is with a Canadian institution and matches your MEP file.
Read the terms on page 2 carefully. Sign and date the form to acknowledge your understanding of the terms and conditions.

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