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AUTHORIZATION FORM PAGE 1 Please complete BOTH pages of the PreAuthorized Debit (PAD) / PreAuthorized Direct Deposit Agreement Below ELECTRIC BILLING FIT PAYMENT MICROFIT PAYMENT Please check one

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How to fill out pre authorized debit form

01

Obtain a pre authorized debit form from the company or organization you wish to set up automatic payments with.

02

Fill in your personal information on the form including your name, address, phone number, and email address.

03

Provide your bank account details such as the account number, transit number, and institution number.

04

Specify the amount to be debited and the frequency of the payments (e.g. monthly, bi-weekly).

05

Sign and date the form to authorize the company to debit your account.

Who needs pre authorized debit form?

01

Anyone who wants to set up automatic payments for bills or services can benefit from a pre authorized debit form.

02

Companies and organizations processing recurring payments from customers also need pre authorized debit forms to securely collect funds.

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What is pre authorized debit form?

Pre authorized debit form is a form that allows a company or organization to automatically withdraw funds from a person's bank account on a recurring basis.

Who is required to file pre authorized debit form?

Any individual or organization that wants to set up automatic payments from a bank account is required to file a pre authorized debit form.

How to fill out pre authorized debit form?

To fill out a pre authorized debit form, you will need to provide your bank account information, authorization for the company to withdraw funds, and any other required details.

What is the purpose of pre authorized debit form?

The purpose of a pre authorized debit form is to simplify regular payments for services or products by allowing for automatic withdrawals from a bank account.

What information must be reported on pre authorized debit form?

The information reported on a pre authorized debit form typically includes the account holder's name, bank account number, authorization for withdrawals, and the amount and frequency of payments.

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