The University of AkronOffice of the Associate Vice President/Controller Accounts Payable ACH Deposit Vendor Authorization 1.. Please complete form and return to the Accounts Payable de
Trang 1The University of Akron
Office of the Associate Vice
President/Controller
Accounts Payable
ACH Deposit Vendor Authorization
1 Please complete form and return to the Accounts Payable department with a cancelled check which identifies both
your account number and the depository’s (financial institution) nine-digit transit routing number
Return Completed Form and copy of Cancelled Check to: The University of Akron, Accounts Payable,
302 Buchtel Common, Akron, OH 44325-6214 OR Fax to AP: 330-972-5702
2 The University of Akron will deposit payments directly into your bank account and send an e-mail notification of the deposit so that you know when the money is available to you
3 Contact Accounts Payable with any questions at (330) 972-7200.
Section 1: Depository Information
Please Select One: NEW Direct Deposit CHANGE Direct Deposit CANCEL Direct Deposit Depository (Bank) Name:
Transit Routing Number:
Check only one: Checking Savings
TRANSIT ROUTING NUMBER: This is the identification
number of your financial institution/Depository This is
normally located in the lower left hand corner of your check
or deposit ticket Also, you may call your financial
institution and request their number
YOUR ACCOUNT NUMBER: This is your checking or
savings account number at your financial
institution/depository Be sure to indicate if the
account number is for checking or a savings account
(check only one box).
Section 2: Vendor Information
Address: (Street, City, State,
Office phone number:
E-mail address for notification:
(E-mail address is mandatory for this service)
Section 3: Authorization
I hereby authorize THE UNIVERSITY OF AKRON and the DEPOSITORY named above to initiate direct deposit entries and
to initiate, if necessary, reversal entries to adjust for any deposit entries made in error to my account This authority is
to remain in full force and effect until THE UNIVERSITY OF AKRON has received written notification from me of its
termination in such time and in such manner as to afford THE UNIVERSITY OF AKRON and DEPOSITORY a reasonable opportunity to act on it I understand THE UNIVERSITY OF AKRON maintains the right to terminate, suspend, or amend the ACH Deposit program in whole or in part at any time
Chief Financial Officer
Accounts Payable Use ONLY
Manager Approval:
CAP-6-04[A] 12/06
Trang 2Vendor ID:
Date Entered:
Entered by: Originated From: Purchasing Email Fax Campus Mail U.S Mail
CAP-6-04[A] 12/06