Form F050001 00 – Fill Out and Use This PDF

The F050001 00 form is a vital document intended for suppliers of the California Institute of Technology, enabling them to enroll, cancel, or update information for Electronic Funds Transfer (EFT) payments. This form authorizes the institute to deposit payments directly into a supplier's bank account, stipulating that it is the supplier's responsibility to inform Procurement Services about any account changes promptly. To ensure smooth financial transactions and timely payments, fill out the F050001 00 form by clicking the button below.

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Form F050001 00 PDF Details

The F050001 00 form is a specialized document used by the California Institute of Technology (Caltech) for managing Electronic Funds Transfer (EFT) for its suppliers. This document is crucial for suppliers looking to facilitate the direct deposit of payments from Caltech into their bank accounts. Suppliers are required to authorize Caltech to deposit due payments into specified accounts, ensuring that both parties have consented to this method of transaction. This form serves as a bridge between Caltech's Procurement Services Supplier Management and the suppliers, necessitating detailed bank information, including the financial institution name, branch name, account name, account number, and the bank’s ABA routing number. It also demands the personal details of the authorizing person, including their name, title, phone number, and signature, alongside the company’s basic information such as its name and address. Suppliers have the option to enroll, cancel, or change the information regarding their EFT setup through this form, highlighting the form's flexibility to accommodate various supplier needs. Moreover, this document highlights the importance of notifying Procurement Services about any changes to the bank account in a timely manner, emphasizing the dynamic nature of financial transactions and the need for up-to-date information. The inclusion of an email address for the notification of EFT payment and a contact for EFT payment inquiries underscores the form’s role in ensuring transparent and efficient communication between Caltech and its suppliers. Created in June 2005, this document underlines the procedure and required details for suppliers seeking to use EFT for receiving payments, thereby streamlining the payment process and enhancing operational efficiency.

Question	Answer
Form Name	Form F050001 00
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	emailed, Definitions, Remittance, F050001-00

Form Preview Example

California Institute of Technology	Mail this form to:
Procurement Services	Supplier Management
	1200 E California Blvd., MC 103-6
	Pasadena, CA 91125

Electronic Funds Transfer (EFT) Form for Suppliers

I, _______________________________________________, Title: _______________________________________________

authorize the California Institute of Technology to deposit payments due or to become due into the following account with the below named bank. It is my responsibility to notify Procurement Services of any changes to said bank account in a timely manner.

The bank information provided on this form will be applied to all divisions of your business unless otherwise indicated.

Action

Requested

Check One:

Enroll

Cancel

Change of Information

(For changes, enter only the items to be changed)

Company Name:

Address:

City:

State:

Zip Code:

Bank

Information

Name of Financial Institution:

Branch Name:

Account Name:

Account Number:

Bank’s ABA Routing Number:

Print Name/Title of Authorizing Person:

Phone Number:

Signature of Authorizing Person: (Required)

Date:

Email Address for Notification of EFT Payment: (Required)

Print Name of Contact for EFT Payment:

Contact Phone Number:

For Supplier Management Use Only:

Supplier #:

1200 E California Blvd ♦ Mailcode 103-6 ♦ Pasadena, CA 91125

(626)395-2674

June 2005

FORM F050001-00

California Institute of Technology

Procurement Services

Electronic Funds Transfer (EFT) Form for Suppliers

Instructions/Definitions

1.Name of Financial Institution: name of your bank

2.Branch Name: name of the branch for the account

3.Account Name: name(s) of the account owners

4.Account Number: number that is specific to the bank account in which payment is to be deposited into.

5.Bank’s ABA Routing Number: number that identifies the financial institution responsible for the payment of a negotiable instrument.

6.Email Address: Remittance Advice is emailed to a designated address that your company provides. This email address can be a group list.

7.Contact for EFT Payment: Name of person to contact for direct deposit payment inquiries.

8.The bank information provided on this form will be applied to all divisions of your business unless otherwise indicated. If the bank information provided applies only to a specific division, you must attach a note on your company’s letterhead, indicating the name of the division it applies to and contact information.