Vendor Ach/direct Deposit Authorization Form

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Vendor ACH/Direct Deposit Authorization Form University of San Diego Office of Accounts Payable 1. Please Check One: NEW Direct Deposit CHANGE Direct Deposit CANCEL Direct Deposit 2. Vendor/Payee Information Contact Person’s Name (if other than payee): Telephone Number: Email Address: 3. Financial Institution Information Bank Address: Name on Bank Account: Bank Account Number: Nine-Digit Bank Routing/Transit Number (ABA): Type of Account: 4. Approvals/Authorizations -

I certify that the information provided on this form is correct, and I hereby authorize University of San Diego Office of

Accounts Payable to electronically deposit payments to the bank account designated above. It is my responsibility to notify USD AP (ap@sandiego.edu or (619)

260‐4732) immediately if I believe there is a discrepancy between the amount deposited to my bank account and the amount of the invoice(s) paid. I understand

that I must notify USD AP in writing immediately of any changes in status or banking information. I understand that this authorization will remain in full force and

effect until USD AP has received written notification requesting a change or cancellation and has had reasonable opportunity to act on it, which should take no