ACH Debit Authorization Agreement – Fill Out and Use This PDF

ACH Debit Authorization Agreement PDF Details

The ACH Debit Authorization Agreement is used by BECU account holders who need to pull funds from an external financial institution into their BECU account. Because the originating institution cannot set up the transfer on behalf of the BECU member, the account holder completes this authorization directly.

Key information required on the form:

• BECU account details: Your BECU account number and account type (checking or savings).
• External account details: The routing number, account number, and financial institution name of the account to be debited.
• Transfer parameters: The dollar amount per debit (not to exceed the monthly cap) and the transfer date or frequency.
• Action type: Whether you are creating a new authorization, modifying an existing one, or canceling it. Each scenario has a dedicated section that must be completed.
• Signature and date: The account holder's signature confirms consent and certifies the accuracy of all information provided.

NACHA rules require that ACH debit authorizations be retained for at least two years after revocation or the last successful debit. If an unauthorized transaction occurs, you have 60 days from the bank statement date to dispute it under Regulation E of the Electronic Fund Transfer Act.

For related authorization documents, see the ACH authorization form for general bank-to-bank electronic transfers, or the ACH debit authorization form for a simplified single-debit version.