A Payment Authorization Form is a critical financial document used in Australian business transactions to establish formal permission for processing payments. This document is essential when setting up recurring payments, direct debits, or authorized payment arrangements between parties. It must comply with Australian regulatory requirements, including the Payment Systems (Regulation) Act 1998, Privacy Act 1988, and Electronic Transactions Act 1999. The form captures crucial information such as account holder details, payment specifications, and authorization terms, while incorporating necessary privacy and data protection provisions. It's commonly used by businesses, financial institutions, and service providers to secure proper authorization for payment processing, whether for one-time transactions or recurring payment arrangements.
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1. Account Holder Information: Details of the person/entity authorizing the payment, including full name, contact information, and address
2. Payment Details: Specific information about the payment arrangement, including payment amount, frequency, and purpose
3. Bank Account Details: Banking information including BSB, account number, and account name
4. Authorization Statement: Clear statement of authorization for the payment processor to debit the specified account
5. Terms and Conditions: Essential terms governing the payment authorization, including processing timeframes and responsibilities
6. Privacy Statement: Declaration of how personal and financial information will be collected, used, and protected
7. Cancellation Rights: Information about how to cancel or modify the payment authorization
8. Signature Block: Space for authorized signature(s) and date, including electronic signature provisions
1. Direct Debit Request: Additional section for recurring payment arrangements, including specific direct debit terms
2. Multiple Account Authorization: Section for authorizing payments from multiple accounts or to multiple recipients
3. International Payment Details: Additional fields for international payments including SWIFT codes and foreign currency details
4. Credit Card Authorization: Alternative section for credit card payment authorization instead of direct bank debit
5. Corporate Authorization: Additional requirements for corporate account holders, including proof of authority
6. Third-Party Authorization: Section for cases where the person authorizing is not the account holder
1. Schedule A - Fee Schedule: Detailed breakdown of all applicable fees and charges
2. Schedule B - Processing Times: Details of payment processing timeframes and cut-off times
3. Appendix 1 - Terms Dictionary: Definitions of key terms used in the authorization form
4. Appendix 2 - Privacy Policy: Detailed privacy policy and data handling procedures
Relevant legal definitions
Account
Account Holder
Authorization Date
Authorized Signatory
Banking Day
BSB Number
Business Day
Cancellation Notice
Debit Day
Direct Debit
Direct Debit Request
Drawing
Electronic Funds Transfer
Financial Institution
Payment Amount
Payment Date
Payment Processor
Payment Schedule
Processing Fee
Reference Number
Service Agreement
Settlement Date
Transaction
Transfer Amount
Working Day
Account Holder
Authorization Date
Authorized Signatory
Banking Day
BSB Number
Business Day
Cancellation Notice
Debit Day
Direct Debit
Direct Debit Request
Drawing
Electronic Funds Transfer
Financial Institution
Payment Amount
Payment Date
Payment Processor
Payment Schedule
Processing Fee
Reference Number
Service Agreement
Settlement Date
Transaction
Transfer Amount
Working Day
Clauses
Authorization
Payment Terms
Bank Account Details
Privacy
Data Protection
Consent
Modification Rights
Cancellation Rights
Processing Timeframes
Fee Disclosure
Liability
Dispute Resolution
Force Majeure
Electronic Authorization
Governing Law
Notice Requirements
Amendment
Termination
Indemnification
Severability
Payment Terms
Bank Account Details
Privacy
Data Protection
Consent
Modification Rights
Cancellation Rights
Processing Timeframes
Fee Disclosure
Liability
Dispute Resolution
Force Majeure
Electronic Authorization
Governing Law
Notice Requirements
Amendment
Termination
Indemnification
Severability
Relevant Industries
Banking and Financial Services
Retail
Insurance
Utilities
Telecommunications
Healthcare
Education
Professional Services
Real Estate
Non-profit Organizations
E-commerce
Government Services
Relevant Teams
Finance
Legal
Compliance
Operations
Customer Service
Account Management
Treasury
Risk Management
Collections
Payment Processing
Data Security
Client Relations
Relevant Roles
Finance Manager
Accounts Receivable Manager
Compliance Officer
Legal Counsel
Payment Operations Manager
Customer Service Manager
Account Manager
Financial Controller
Treasury Manager
Risk Manager
Banking Relations Manager
Collections Manager
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