Ach Vendor Payment Form is a payment form that can be used for any vendor. This form provides a space to enter the vendor name, amount owed and how often they are paid. The program also has a feature that allows you to export data in spreadsheet format, which may come in handy if you have other accounts payable software or need to send vendors reports on their balances due. Ach Vendor Payment Form is available as an add-on for QuickBooks Online Plus subscribers and can be downloaded from the App Store or Google Play Store free of charge.
This knowledge can help you comprehend better the details of the ach vendor payment form before starting filling it out.
Question | Answer |
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Form Name | Ach Vendor Payment Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | dol ach form, owcp ach form, ACS, ach payment instruction form |
ATTACHMENT 3
PAYMENT INFORMATION FORM
ACH VENDOR PAYMENT SYSTEM
This form is used for the ACH payments with an addendum record that carries
PAPERWORK REDUCTION ACT STATEMENT
The information being collected on this form is required under the provision of 31 U.S.C. 3322 and 31 CFR 210. This information will be used by the Treasury Department to transmit payment data by electronic means to vendor’s financial institution. Failure to provide the requested information may delay or prevent the receipt of payments through the Automated Clearinghouse Payment System.
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MEDICAL PROVIDER INFORMATION |
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Provider #: |
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Name: |
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Address: |
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Contact Person Name: |
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Telephone Number: |
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AGENCY INFORMATION
Name: U.S. Department of
Address: c/o ACS- Department of Labor Project
P.O. Box 14600, Tallahassee, Florida
Contact Person Name: |
Telephone Number: 1 (866) |
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FINANCIAL INSTITUTION INFORMATION |
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Name: |
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Address: |
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ACH Coordinator Name: |
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Telephone Number: |
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Depositor Account Title: |
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Depositor Account Number: |
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Type of Account: |
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□ Checking |
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□ Savings |
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Signature and Title of Representative: |
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Telephone Number: |
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SF Form 3881 |
Department of the Treasury |
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Financial Management Service |
SF Form 3881 |
Department of the Treasury |
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Financial Management Service |