Form preview

Get the free Direct Debit Request Form

Get Form
This document authorizes Macquarie Card Services to set up a direct debit arrangement for monthly payments from the user's nominated bank account to their credit card account.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign direct debit request form

Edit
Edit your direct debit request form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your direct debit request form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing direct debit request form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit direct debit request form. Rearrange and rotate pages, insert new and alter existing texts, add new objects, and take advantage of other helpful tools. Click Done to apply changes and return to your Dashboard. Go to the Documents tab to access merging, splitting, locking, or unlocking functions.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
It's easier to work with documents with pdfFiller than you can have believed. You can sign up for an account to see for yourself.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out direct debit request form

Illustration

How to fill out Direct Debit Request Form

01
Begin by downloading the Direct Debit Request Form from the provider's website or obtaining a hard copy from them.
02
Fill in the account holder's name and address at the top of the form.
03
Provide your bank details, including account name, BSB number, and account number.
04
Specify the amount to be debited and the frequency of the transactions (e.g., weekly, monthly).
05
Include the date on which you want the debits to start.
06
Read the terms and conditions carefully, then sign and date the form.
07
Submit the completed form to the provider as instructed, either via email or postal mail.

Who needs Direct Debit Request Form?

01
Individuals or businesses who wish to set up automatic payments for bills, subscriptions, or services.
02
Customers of utility companies, insurance providers, or any service that allows direct debit payments.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.3
Satisfied
34 Votes

People Also Ask about

To set up a new Direct Debit with a company, you'll need to fill in a form online, by post or over the phone. This is called a Direct Debit mandate or instruction. The business will then contact your bank to get things moving. You'll need to provide your full name, home address, account number and sort code.
Any Direct Debit Collection reference must match the reference lodged on the account completely. Reading from the left, all characters must be present. An example: If you lodge a reference which is ABCD1234 then your collection reference must be ABCD1234.
Before initiating a direct debit, businesses must obtain explicit consent from the account holder. The authorisation process must be clear, unambiguous, and include detailed information about the frequency, amount, and purpose of the payments.
If you/your company pay by Direct Debit, you will also be able to find your/your company's Account Reference Number on your/your company's bank statement. It can be found next to your/your company's Direct Debit and will start with the letter S, followed by your/your company's Account Reference Number.
The Direct Debit Reference is chosen by the Service User and is typically a number or a mix of letters and numbers. It is usually between 6 and 18 characters and unique to the payer. Often it is a customer or membership number.
Reference numbers are unique identifiers assigned to any financial transaction. This includes any transaction made with a credit card or debit card.
Direct Debit Request or DDR: The written, verbal or online request you give us to debit funds from your account.
A payment reference number is a unique identifier for a financial transaction, such as bank transfers, card payments, and direct debits. This alphanumeric code is automatically generated by the bank or payment service provider to specify the purpose of a transaction.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

A Direct Debit Request Form is a document that authorizes an organization to withdraw funds directly from a person's bank account on a scheduled basis.
Individuals or businesses that wish to set up a direct debit arrangement for recurring payments need to file a Direct Debit Request Form.
To fill out a Direct Debit Request Form, you typically need to provide your personal details, bank account information, the payment amount, frequency of payment, and the signature of the account holder.
The purpose of a Direct Debit Request Form is to facilitate automated, recurring payments from a customer's bank account, ensuring timely and hassle-free transactions.
Information that must be reported includes the payer's name, bank account details (BSB and account number), payment amounts, payment frequency, and the payer's authorization signature.
Fill out your direct debit request form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.