The Bank Authorization Form is a critical document used in the Dutch banking system when an account holder needs to grant specific banking privileges to another party. This document is essential for various scenarios, including business operations, personal banking management, and situations requiring third-party account access. The form must comply with the Dutch Financial Supervision Act (Wft), GDPR requirements, and anti-money laundering regulations. It typically includes detailed information about both the grantor and grantee of the authorization, specific permissions being granted, duration of the authorization, and clear revocation procedures. This document is particularly important for businesses managing multiple signatories, individuals requiring assistance with their banking affairs, and organizations needing to delegate financial responsibilities.

1. Account Holder Information: Details of the primary account holder including full name, address, date of birth, and contact information

2. Bank Account Details: Specific bank account information including account number (IBAN), bank name, and branch details

3. Authorization Scope: Clear specification of what actions are being authorized (e.g., direct debits, recurring payments, account access)

4. Authorized Party Details: Information about the person or entity being granted authorization, including full identification details

5. Duration and Validity: Specification of how long the authorization remains valid and any expiration conditions

6. Declaration and Consent: Formal statement of the account holder's agreement to the authorization and acknowledgment of associated risks

7. Data Protection Notice: GDPR-compliant statement about how personal data will be processed and shared

8. Revocation Rights: Information about how and when the authorization can be revoked

9. Signature Block: Space for date and signatures of all relevant parties, including any witness requirements