The ACH Payment Authorization Form (known in Canada as EFT or Pre-Authorized Debit Authorization) is a fundamental document used to establish automated payment arrangements between parties. This form is essential when a business or organization needs to collect regular payments from customers, or when individuals want to set up automated bill payments. The document must comply with Canadian Payments Association Rules, particularly Rule H1 governing pre-authorized debits, and include specific elements required by Canadian banking regulations. It contains detailed information about both parties, banking details, payment terms, and mandatory disclosures about privacy, cancellation rights, and recourse procedures. The form serves as a legal authorization for the transfer of funds and provides protection for both the payor and payee under Canadian law.
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1. Form Title and Date: Clear identification of the document as an EFT/Pre-Authorized Debit Authorization Form with date
2. Payor Information: Complete details of the account holder including full legal name, address, phone number, and email
3. Financial Institution Information: Payor's bank details including institution name, transit number, institution number, and account number
4. Payee Information: Company/organization receiving the payments, including legal name, address, and contact information
5. Payment Details: Specification of payment amount, frequency (one-time vs recurring), and start date
6. Authorization Statement: Clear statement of authorization including the scope of the authorization and acknowledgment of terms
7. Cancellation Rights: Statement of the payor's right to cancel the authorization and required notice period
8. Recourse Statement: Information about the payor's recourse rights and reimbursement options
9. Signature Block: Space for payor's signature, printed name, and date
1. Variable Payment Authorization: Additional authorization section for variable payment amounts, required when payment amounts may fluctuate
2. Joint Account Authorization: Additional signature section when the bank account requires multiple authorizations
3. Electronic Communication Consent: Optional consent for receiving electronic communications about the payments
4. Business PAD Agreement: Additional terms specific to business accounts, used when the payor is a business entity
5. Payment Change Authorization: Section authorizing future changes to payment amount with notice, useful for recurring service payments
1. Void Cheque or Direct Deposit Form: Attachment of void cheque or bank-issued direct deposit form to verify account details
2. Payment Schedule: Detailed schedule of payment dates and amounts (for fixed recurring payments)
3. Terms and Conditions: Detailed terms and conditions of the pre-authorized debit arrangement
4. Privacy Notice: Detailed privacy policy regarding the handling of personal and financial information
Relevant legal definitions
Agreement
Authorization
Business Day
Cancellation Notice
Due Date
Electronic Funds Transfer (EFT)
Financial Institution
Institution Number
Notice of Change
NSF (Non-Sufficient Funds)
One-Time Payment
Payor
Payee
Payment Amount
Payment Date
Payment Schedule
Pre-Authorized Debit (PAD)
Recourse Rights
Recurring Payment
Transit Number
Variable Payment
Void Check
Processing Date
Account Information
Personal PAD
Business PAD
Reimbursement
Stop Payment
Authorization
Business Day
Cancellation Notice
Due Date
Electronic Funds Transfer (EFT)
Financial Institution
Institution Number
Notice of Change
NSF (Non-Sufficient Funds)
One-Time Payment
Payor
Payee
Payment Amount
Payment Date
Payment Schedule
Pre-Authorized Debit (PAD)
Recourse Rights
Recurring Payment
Transit Number
Variable Payment
Void Check
Processing Date
Account Information
Personal PAD
Business PAD
Reimbursement
Stop Payment
Clauses
Authorization
Payment Terms
Bank Account Details
Privacy and Data Protection
Cancellation Rights
Amendment
Recourse and Dispute Resolution
Electronic Communication Consent
Verification and Authentication
Payment Schedule
Variable Amount Authorization
Stop Payment Rights
Account Changes
NSF Procedures
Liability
Governing Law
Notice Requirements
Representations and Warranties
Acknowledgment
Payment Terms
Bank Account Details
Privacy and Data Protection
Cancellation Rights
Amendment
Recourse and Dispute Resolution
Electronic Communication Consent
Verification and Authentication
Payment Schedule
Variable Amount Authorization
Stop Payment Rights
Account Changes
NSF Procedures
Liability
Governing Law
Notice Requirements
Representations and Warranties
Acknowledgment
Relevant Industries
Banking and Financial Services
Insurance
Utilities
Telecommunications
Property Management
Subscription Services
Education
Healthcare
Professional Services
Retail
Non-Profit Organizations
Government Services
Relevant Teams
Finance
Accounts Receivable
Accounts Payable
Treasury
Legal
Compliance
Customer Service
Operations
Administration
Credit Control
Collections
Relevant Roles
Financial Controller
Accounts Receivable Manager
Accounts Payable Manager
Finance Director
Treasury Manager
Payment Operations Manager
Billing Coordinator
Financial Operations Analyst
Compliance Officer
Legal Counsel
Customer Service Manager
Office Administrator
Business Operations Manager
Credit Controller
Collections Specialist
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