• ACH Payment Authorization Form

    ACH Payment Authorization Form

    CENTRE COLLEGE
  • Individual

  • Company

  • Section 2: FINANCIAL INSTITUTION INFORMATION

  • Section 3: NOTIFICATION METHOD

  • TERMS and CONDITIONS

  • Federal Automated Clearing House, commonly known as ACH or direct deposit, is known to be the safest, fastest and most convenient method of payment. To enroll in the ACH payment process, you must have a valid checking or savings account at a financial institution that participates in ACH. Most banks and credit unions participate in ACH.

    • In order to successfully carry out Centre College’s fiscal responsibility, the individual or company agrees:
    • To the provisions of this ACH agreement;
    • To provide accurate enrollment information;
    • That any revised authorization will replace any previous authorization;
    • That Centre College may reverse and duplicate or erroneous credit entries; and
    • That the authorization shall remain valid until it is terminated or revoke in writing or by the closing of the recipient’s account at the receiving financial institution. Submission of the ACH Payment Authorization Form authorizes Centre College to electronically deposit payments through ACH to the financial institution listed on the Authorization Form (Section 2) for payments issued by Centre College’s Accounts Payable department for travel, refunds, and/or vendor payments, as applicable.

    Your authorization shall remain in effect until advanced written notice of termination is submitted to Centre College. Such notice should afford Centre College and the financial institution named on the Authorization Form (Section 2) reasonable opportunity to act on it. It is your responsibility to provide an updated ACH Payment Authorization Form to Centre College to update any changes to your financial institution, routing and account number(s).

    If you are requesting payment as an individual unaffiliated with Centre College or a sole proprietor, please list your social security number or applicable tax ID in Section One. If you are a Centre College employee or student, please list your Centre ID in Section One.

    Centre College reserves the right to reverse any duplicate or erroneous credit entries.

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  • If you have any questions concerning ACH transactions, please contact Jake Emery, Controller at Jacob.emery@centre.edu or (859) 238-5455

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