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PERSONALLY APPROVED PAYMENTS MAYORS AUTHORIZATION FOR PREAUTHORIZED DEBITS FOR PERSONAL/HOUSEHOLD PURPOSES Health Association Nova Scotia GROUP INSURANCE 1. Mayors Name and address please print I/We

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How to fill out pre-authorized debit agreement alternate

01

Obtain a pre-authorized debit agreement form alternate from the financial institution or organization you wish to set up automatic payments with.

02

Fill out your personal information including name, address, and contact details.

03

Provide your banking information including account number, institution number, and branch number.

04

Indicate the amount and frequency of the payments to be debited from your account.

05

Sign and date the agreement to authorize the financial institution to withdraw payments from your account.

Who needs pre-authorized debit agreement alternate?

01

Individuals who want to automate their bill payments

02

Businesses that want to collect recurring payments from customers

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What is pre-authorized debit agreement alternate?

Pre-authorized debit agreement alternate is an authorization provided by a payer to allow a payee to debit funds from their account.

Who is required to file pre-authorized debit agreement alternate?

Any individual or organization that wishes to initiate automated withdrawals from a payer's account needs to have a pre-authorized debit agreement alternate in place.

How to fill out pre-authorized debit agreement alternate?

To fill out a pre-authorized debit agreement alternate, both the payer and payee need to agree on the terms of the automated debits, including the amount, frequency, and duration of the withdrawals.

What is the purpose of pre-authorized debit agreement alternate?

The purpose of a pre-authorized debit agreement alternate is to provide a convenient and efficient way for payees to collect payments from payers without the need for manual processing.

What information must be reported on pre-authorized debit agreement alternate?

The pre-authorized debit agreement alternate must include the payer's account information, the amount and frequency of the debits, and the contact information for both the payer and payee.

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