The Direct Debit Authorisation Form is a critical financial document used throughout Australia to establish automated payment arrangements between service providers and their customers. This document is essential when setting up recurring payments for services, subscriptions, or regular financial obligations. It must comply with Australian banking regulations, including BECS rules and privacy laws, and typically includes the customer's banking details, payment schedule, and authorization for automatic debits. The form serves as both a legal authorization and an operational tool, enabling businesses to streamline their payment collection processes while providing customers with a convenient payment method. It's particularly important for businesses offering subscription services, utilities, or any service requiring regular payments.

1. Form Title and Header: Clear identification of the document as a Direct Debit Request form, including any relevant logo and form reference number

2. Service Provider Details: Details of the company/entity requesting the direct debit authority, including business name, ABN, and contact information

3. Customer Details: Section for customer's personal/business information including full name, address, and contact details

4. Bank Account Details: Fields for customer's bank account information including account name, BSB, account number

5. Payment Details: Information about the payment arrangement including frequency, amount (fixed or variable), and start date

6. Authorisation Statement: Clear statement of the authority being given to debit the account, including reference to the Direct Debit Request Service Agreement

7. Customer Declaration: Statement confirming account ownership and authority to operate the account

8. Signature Block: Space for customer signature(s) and date