Bank Account Authorization Request Form

Bank Account Authorization Request Form

To be submitted to request authorization to open a new troop or service unit (group) bank account or by a current authorized signer to change authorized signers on an existing group bank account. Please allow five (5) business days (or more leading up to and during the Fall Product/Cookie Programs) processing time.
Please Select the Reason for this Submission:*

Requesting to Open a Bank Account for a New Troop/Service UnitRequesting to Change Signers on Existing Bank AccountRequesting to Switch Banks
Name of Financial Institution You Are Leaving*
Reason for Leaving Current Financial Institution*
Name of Financial Institution You Plan on Using:*
This Form is Related to a:*

TroopService Unit
Troop #####:*
Troop Meeting City:*
Troop Meeting State:*
Service Unit ###:*
Service Unit Name:*
Contact Information of Person Submitting Form:*

First NameLast Name
Email:*
Phone Number:*

Area CodePhone Number
Please list ALL authorized signers that you're requesting to be on your group bank account.
Signer 1: *

Requesting to AddRequesting to RemoveConfirming
Signer 1 Name:*

First NameLast Name
Signer 1 E-mail:*
Signer 1:*

Is a registered and approved Girl Scout volunteerIs not of the same family or living in the same household as another signerHas no financial restrictions
Signer 2: *

Requesting to AddRequesting to RemoveConfirming
Sign 2 Name:*

First NameLast Name
Signer 2 E-mail:*
example@example.com
Signer 2:*

Is a registered and approved Girl Scout volunteerIs not of the same family or living in the same household as another signerHas no financial restrictions
Signer 3:

Requesting to AddRequesting to RemoveConfirming
Signer 3 Name:*

First NameLast Name
Signer 3 E-mail:*
Signer 3:*

Is a registered and approved Girl Scout volunteerIs not of the same family or living in the same household as another signerHas no financial restrictions
Signer 4:

Requesting to AddRequesting to RemoveConfirming
Signer 4 Name:*

First NameLast Name
Signer 4: E-mail*
Signer 4:*

Is a registered and approved Girl Scout volunteerIs not of the same family or living in the same household as another signerHas no financial restrictions
Signer 5:

Requesting to AddRequesting to RemoveConfirming
Signer 5 Name:*

First NameLast Name
Signer 5 E-mail:*
example@example.com
Signer 5:*

Is a registered and approved Girl Scout volunteerIs not of the same family or living in the same household as another signerHas no financial restrictions
Signer 6:

Requesting to AddRequesting to RemoveConfirming
Signer 6 Name:*

First NameLast Name
Signer 6 E-mail:*
example@example.com
Signer 6:*

Is a registered and approved Girl Scout volunteerIs not of the same family or living in the same household as another signerHas no financial restrictions
Terms of Agreement
By submitting this form, you and all the authorized signers on your group bank account acknowledge and agree to:
1. Open only one (1) checking account under the Council federal tax id number with a federally insured financial institution. Savings accounts are prohibited.
2. Maintain two (2) registered and approved Girl Scout adults registered within the service unit, not of the same family or living in the same household, as authorized signers on the account at all times. The council Chief Financial Officer and Controller will also be authorized on the account.
3. Obtain a second signature on any expenditure in excess of $500.00.
4. Debit cards with a purchase limit of no more than $500.00 are permitted. Debit cards may not have a cash withdrawal capability.
5. Deposit all group funds into and make all disbursements from the group bank account with the purpose of supporting Girl Scouts activities.
6. Maintain an up-to-date check register and reconcile the check register to the bank statement within ten (10) days of receipt of bank statement.
7. Pay group bills in a responsible, timely manner. Groups may not under any circumstances issue NSF (non-sufficient funds) checks. Authorized account signers who overdrawn their account can be dismissed.
8. Funds are for the group to be spent on well-balanced program activities. Funds may not be used for any non-Girl Scout purpose. Under no circumstances shall the money be divided among members of the group for personal use, used by the authorized account signer for their personal use, or donated to another organization.
9. Submit an Annual Finance Report by June 15th of each year with a copy of the current year May bank statement and check register attached.
10. Retain check registers, bank statements, receipts and any other financial documentation for two years.
11. Communicate regularly with girls and their caregivers/sponsors regarding where group funds come from and how they are spent. The Monthly Financial Summary tab of the GSDH provided Check Register workbook is an excellent tool for this communication.
12. Request all account changes via a new Bank Account Authorization Request Form for review, verification and approval.
13. Submit a Bank Account Confirmation / ACH Form within ten (10) business days of opening or making any changes to your group bank account. The Bank Account Confirmation / ACH Form must also be submitted annually by October 1.
14. Follow all other Troop and Service Unit Funds Policies which can be found under Volunteer/Volunteer Resources/Finances on the GSDH website.
What happens next...

If there are any questions regarding your submission you will be contacted by the Finance Department. If there are no questions regarding your submission you will receive an email with a Bank Account Authorization Letter and Corporate Bank Resolution from the Finance Department to present to your financial institution as authorization to open a new group bank account or make changes to your existing group bank account. Please do not go to your financial institution prior to receiving these documents.

Please allow five (5) business days (or more leading up to and during the Fall Product/Cookie Program) processing time. If you have any questions regarding your submission please reach out to our Member Services Center at help@gsdakotahorizons.org or 1.800.666.2141.
Should be Empty:

Bank Account Authorization Request Form

Please list ALL authorized signers that you're requesting to be on your group bank account.

Terms of Agreement