ACH Agreement Form Template

Contents

Agreement to Perform Automated Clearing House Services

· Rules, Laws and Regulations

· Consumer and Corporate Entries

· Cross Border/International Entries

· EFTPS Tax Payments

· Point of Purchase Entries

· Represented Check Entries

· Third Party Processor

· Prohibited or Restricted Entries

· Delivery of Entries to Financial Institution

· Processing, Transmittal and Settlement by Financial Institution

· On-Us Entries

· Returns and Notifications of Change

· Provisional Payment

· Security Procedures for Unauthorized, Authorized and Inconsistent Entries

· Company Account

· Company's Representations, Warranties and Indemnification

· Notices and Statements

· Liability of Financial Institution; Limitations on Liability

· Indemnification

· Payment for Financial Institution Services

· Termination

· Confidentiality

· Records

· Credit and Audit Review

· Site Inspection and Visitation

· Security Interest in Accounts and Settlement Reserve

· Dispute

· General Provisions

Schedule A - Delivery Requirements

Schedule B - Security Procedures

Schedule C - Company Processing Calendar

Schedule D - Company Reference Card

Schedule E - ACH Service Fees

Exhibit 1 - Authorization Agreement for Automatic Deposits (ACH Credits)

Exhibit 1 - Authorization Agreement for Preauthorized Payments (ACH Debits)

Transmittal Letter

Recent updates to this product:

02/23/09 Update

09/30/08 Update

This form template is also included in the purchase price of the Automated Clearing House Policy Template.

This form template (approximately 18 pages in Arial Font Size 8 text) is available to purchase from Bankpolicies.com in Microsoft® Word format for a flat fee of $100.00, and you can receive your order via e-mail attachment or on CD-ROM for large volume orders.

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