ACH AUTHORIZATION FORM - Universal Music Group 2025

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An ACH authorization form must include specific information to comply with NACHA Operating Rules and ensure proper processing of payments. Here are the key elements required: Personal information: Full name, address, phone number. Bank account details: Account number, routing number, account type (checking or savings).
An Automated Clearing House (ACH) authorization is a payment authorization that gives the lender permission to electronically take money from your bank, credit union, or prepaid card account when your payment is due. You can revoke this authorization.
An ACH authorization form requires the following elements: Your contact information. Payors name. Payors bank account number. Payors bank routing number. Amount and timing (for recurring and one-time payments) Authorization statement. Cancelation details. Date of agreement and signature (if a physical paper form)
How to Accept ACH Payments Open a business account. Select a provider and enable ACH payments for your Point of Sale (POS). Request customer authorization. If your customer will initiate the payment, send them your routing and account number. If youll initiate the payment, collect your customers bank information.
I (we) agree that ACH transactions I (we) authorize comply with all applicable law. Amount of debit(s) or method of determining amount of debit(s) [or specify range of acceptable dollar amounts authorized]: .
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Theres no standardized format for an ACH authorization form, but each one requires a set of mandatory elements. At a minimum, the form must: Request permission from the payer for all future debits.

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