Legal Templates
Preauthorized Debit Form

Preauthorized Debit Form for Ireland

Preauthorized Debit Form Template for Ireland

A standardized legal document compliant with Irish banking regulations and SEPA (Single Euro Payments Area) requirements that authorizes regular automatic debits from a designated bank account. This form establishes a direct debit mandate between the account holder and the payment recipient, governed by Irish law and EU payment services regulations. It includes essential components such as account holder details, payment specifications, SEPA mandate information, and data protection notices in accordance with GDPR requirements. The document serves as a formal authorization for recurring payments while protecting both parties' rights under Irish and EU banking regulations.

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What is a Preauthorized Debit Form?

The Preauthorized Debit Form is a crucial financial document used in Ireland to establish automated payment arrangements between parties. It enables regular, automated withdrawals from a payer's bank account for recurring payments such as utilities, subscriptions, or loan repayments. The document must comply with Irish banking regulations, the SEPA Direct Debit Scheme, and EU payment services legislation (PSD2). It contains mandatory elements including the creditor's identifier, debtor's bank details, mandate reference, and authorization declarations. The form also incorporates GDPR-compliant data protection notices and clearly outlines the debtor's rights regarding refunds and mandate cancellation. This standardized document is essential for businesses operating in Ireland that collect regular payments and provides legal protection for both the payment recipient and the account holder.

What sections should be included in a Preauthorized Debit Form?

1. Account Holder Information: Detailed information about the account holder including full name, address, and contact details

2. Bank Account Details: Account holder's bank information including IBAN, BIC, and bank name

3. Creditor Information: Details of the organization receiving the payments, including creditor ID and business name

4. Payment Details: Specification of payment amount (fixed or variable), frequency, and start date

5. Authorization Declaration: Formal authorization statement and confirmation of understanding of the direct debit terms

6. SEPA Direct Debit Mandate: Standard SEPA mandate information and unique mandate reference

7. Rights and Obligations: Summary of the payer's rights regarding refunds and cancellation under SEPA rules

8. Data Protection Notice: GDPR-compliant statement on how personal data will be processed and stored

What sections are optional to include in a Preauthorized Debit Form?

1. Variable Amount Authorization: Additional terms for variable amount direct debits, used when payment amounts may fluctuate

2. Multiple Account Authorization: Section for authorizing debits from multiple accounts, used for businesses with several bank accounts

3. Third Party Authorization: Additional section when the account holder differs from the service recipient

4. Special Instructions: Section for any specific payment instructions or conditions, used when standard terms need modification

5. Electronic Signature Consent: Required when the form will be completed and signed electronically

What schedules should be included in a Preauthorized Debit Form?

1. Schedule A - Payment Schedule: Detailed breakdown of payment dates and amounts if fixed schedule applies

2. Schedule B - Terms and Conditions: Complete terms and conditions of the direct debit arrangement

3. Appendix 1 - SEPA Direct Debit Scheme Rules: Summary of relevant SEPA scheme rules and debtor rights

4. Appendix 2 - Cancellation Form: Standard form for cancelling the direct debit mandate

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

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Jurisdiction

Ireland

Publisher

Genie AI

Document Type

Authorization Form

Sector

Legal Services

Cost

Free to use
Relevant legal definitions
Account
Account Holder
Authorized Signatory
Bank
Banking Day
BIC (Business Identifier Code)
Cancellation Notice
Creditor
Creditor Identifier
Core SEPA Direct Debit
Debtor
Direct Debit
Due Date
IBAN (International Bank Account Number)
Mandate
Mandate Reference Number
Payment Date
Payment Instruction
Payment Services Provider
Pre-notification
Recurring Direct Debit
Refund Rights
SEPA
SEPA Direct Debit Core Scheme
Settlement Date
Transaction Amount
Variable Direct Debit
Working Day
Relevant Industries

Banking and Financial Services

Insurance

Utilities

Telecommunications

Property Management

Educational Institutions

Subscription Services

Charitable Organizations

Professional Services

Healthcare Services

Fitness and Wellness

Media and Entertainment

Relevant Teams

Finance

Legal

Compliance

Customer Service

Operations

Treasury

Accounts Receivable

Risk Management

Banking Operations

Credit Control

Relevant Roles

Finance Manager

Accounts Receivable Manager

Billing Coordinator

Legal Counsel

Compliance Officer

Customer Service Manager

Banking Operations Manager

Credit Controller

Financial Controller

Treasury Manager

Payment Services Specialist

Account Manager

Business Development Manager

Risk Manager

Industries
European Union (Payment Services) Regulations 2018: Irish implementation of EU Payment Services Directive 2 (PSD2), governing payment services including direct debits, consumer rights, and service provider obligations
SEPA Direct Debit Core Scheme Rulebook: Rules and standards for SEPA direct debits in the Eurozone, including Ireland, covering mandate requirements and processing rules
General Data Protection Regulation (GDPR): EU regulation on data protection and privacy, crucial for handling personal and financial information in direct debit mandates
Consumer Protection Act 2007: Irish legislation protecting consumer rights and interests in financial services and contracts
Central Bank of Ireland Consumer Protection Code 2012: Regulatory requirements for financial service providers, including rules on direct debits and consumer communication
European Communities (Unfair Terms in Consumer Contracts) Regulations 1995: Regulations protecting consumers from unfair terms in standard form contracts, including direct debit agreements
Criminal Justice (Money Laundering and Terrorist Financing) Act 2010: Requirements for financial institutions regarding customer due diligence and verification of identity
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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