ACH Authorization Form for Vendor Payment template
Collect a vendor's bank details and signed authorization to receive payments by ACH direct deposit.
Financial template · 13 fields (11 required) · ~3 min for respondents to complete · Free plan · No credit card · Fully customizable
Set up your ach authorization form for vendor payment
Collect a vendor's bank details and signed authorization to receive payments by ACH direct deposit.
Put your company's name in the authorization wording before sharing, limit who can see responses, and confirm any new or changed bank details by calling the vendor on a number you already have on file.
The form separates vendor legal business name, vendor id or tax id (optional), bank name, name on the bank account into labeled questions. Review the choices and required fields for your organization before sharing it.
Best practices
Put your company's name in the authorization wording before sharing, limit who can see responses, and confirm any new or changed bank details by calling the vendor on a number you already have on file.
Customize the vendor legal business name and vendor id or tax id (optional) questions to match your records and terminology.
Name the team that reviews responses and explain what happens after submission. A requested date, service or approval is not automatically confirmed.
Keep uploads limited to relevant supporting material. Use your approved private process for sensitive records and verify response access before sharing.
Every field, explained
Authorized contact name (Name, required)
Contact email (Email, required)
Vendor legal business name (Short text, required)
Vendor ID or tax ID (optional) (Short text)
Bank name (Short text, required)
Name on the bank account (Short text, required)
Account type (Single choice, required)
Routing number (Short text, required) — The 9-digit ABA routing number shown on a check or in your bank's account details.
Account number (Short text, required)
Voided check or bank letter (optional) (File upload)
Authorization (Multiple choice, required)
Authorized signature (Signature, required)
Date signed (Date, required)
Frequently asked questions
What does this ach authorization form for vendor payment template collect?
Alongside contact details, it asks for vendor legal business name, vendor id or tax id (optional), bank name, name on the bank account, account type, routing number, account number, voided check or bank letter (optional), authorization, authorized signature, date signed. You can rename questions, change choices and remove fields that your workflow does not need.
How should I use this ach authorization form for vendor payment form?
Put your company's name in the authorization wording before sharing, limit who can see responses, and confirm any new or changed bank details by calling the vendor on a number you already have on file.
Can I customize the acknowledgment and signature fields?
Yes. Provide your complete reviewed instructions or terms before collecting signatures. The signature field records input; it does not verify identity or guarantee legal effect. You can edit the form and print a copy.