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Vendor payment authorization form

Ach form i 2026

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The ACH Vendor Payment Authorization Form is utilized by the Southern California Association of Governments (SCAG) to facilitate electronic payments to vendors via Automated Clearing House (ACH). The form collects essential vendor and financial institution information necessary for processing payments. It includes sections for vendor details, authorization for direct deposits, and verification from the financial institution. Proper completion of this form is crucial to avoid delays in payment.

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Click ‘Get Form’ to open the ACH Vendor Payment Authorization Form in the editor.
Begin by filling out the Vendor Information section. Enter your name, address, contact name, federal ID number, and accounts receivable email address in the designated fields.
In the authorization statement, review the text and provide your authorized signature along with your printed name and title. This confirms your consent for SCAG to deposit funds directly into your account.
Next, move to the Financial Institution Information section. Here, input the bank's name and address, along with the ACH coordinator's name.
Fill in the 9-digit routing number and depositor account title. Specify whether it is a checking or savings account by selecting the appropriate option.
Finally, have a representative from your financial institution sign and provide their title and phone number in the designated area.

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