
Get the free Direct debit request - ASIC
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Australian Securities & Investments Commission Form RA04 Direct debit request Judgement details Who should ASIC contact if there is a query about this form? ASIC registered agent number (if applicable)
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How to fill out direct debit request

How to fill out a direct debit request:
01
Gather the necessary information: Before starting to fill out the direct debit request, make sure you have all the relevant details available. This includes your bank account number, the name and address of the company or individual to whom the payment will be made, and the amount and frequency of the payments.
02
Get the direct debit request form: Contact your bank or the company to whom you will be making the payments and request a direct debit request form. This form is typically available online on the bank's website or can be obtained from the company directly.
03
Provide your personal information: Fill in your personal information accurately on the direct debit request form. This usually includes your name, address, contact details, and bank account number. Double-check that you have entered the correct information to avoid any potential issues.
04
Specify payment details: Indicate the details of the payment on the form, including the amount to be debited from your account, the frequency of the payments (e.g., monthly, quarterly, etc.), and the date on which the first payment should be made. Ensure that you understand and verify the payment terms and conditions before proceeding.
05
Authorization and signatory: Read through the terms and conditions section carefully to understand your rights and obligations. By signing the form, you are authorizing the bank to debit your account as per the specified instructions. Make sure the form is signed by an authorized signatory, which is usually the account holder themselves.
Who needs a direct debit request:
01
Individuals paying recurring bills: Anyone who has regular bills to pay, such as utility bills, phone bills, or insurance premiums, may find direct debit requests useful. It ensures timely payments without the need to manually initiate each transaction.
02
Businesses or organizations receiving recurring payments: Companies or organizations that regularly receive payments from their customers or clients can benefit from direct debit requests. It simplifies the payment collection process and improves cash flow management.
03
Service providers offering subscription-based services: Businesses offering subscription-based services, such as streaming platforms, online memberships, or gym facilities, often rely on direct debit requests to automatically collect payments from customers on a recurring basis.
Remember to always consult with your bank or the specific company about their direct debit policies and procedures to ensure a smooth and accurate process.
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