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Vendor ACH Authorization Form Template

A vendor ACH authorization form, sometimes called a direct deposit form, is how a supplier gives your company permission to pay it electronically into its bank account. It replaces paper cheques and records exactly where each payment should go.

  • Fillable form: action, vendor, bank and signature
  • Call-back checklist for new and changed details
  • Setup log tracking each vendor to first payment
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Updated 7 Oct 20264 partsReviewed by the Spendflo procurement team
What's inside

Four parts, one vendor ACH pack

The pack holds the form itself, the email that sends it, a bank-detail verification checklist and a setup log. Click any card to open that part below.
  1. 1ACH formEvery field the vendor completes, in six sections, with what to enter and a placeholder example.
  2. 2Request emailThe cover email that sends the form, tells the vendor what to return and warns them a call-back follows.
  3. 3VerificationNine checks to run before any new or changed bank account receives its first payment.
  4. 4Setup logOne row per form, with formulas for days open, status and a control check on who verified.

Who it's for

  • AP clerks
  • Controllers
  • Vendor master administrators
  • Procurement managers
  • Treasury analysts
  • Small business owners
Definition

What is a vendor ACH authorization form?

It is the document that moves a supplier from paper cheques to electronic payment. By signing it, the vendor agrees that you may deposit what you owe straight into a named business account through the ACH network, and confirms the routing and account numbers to use.

Accounts payable teams send it during supplier onboarding, after the purchase is approved and before the first invoice falls due. It replaces paper cheques with ACH credits, which cost less to send and are easier to match to invoices.

The signed form is also your evidence. If a payment lands in the wrong account, it shows which details the vendor supplied, when, and who on your side checked them.

Key components

Action type

Tick boxes for a new enrolment, a change of details or a cancellation, so you know what the form is asking you to do.

Vendor information

Business name and address, a payments contact with phone and email, and the tax ID or EIN.

Bank details

Bank name and address, name on the account, 9-digit routing number, account number and account type.

Remittance details

The email address that should receive payment notices and the remittance advice listing paid invoices.

Authorisation and signature

Consent to direct deposits, a promise to report account changes or payment errors, then signature, printed name, title and date.

Get the vendor ach authorization form template free

Ready to use in Word, Excel, Google Sheets and PDF. Fill it in, save it, reuse it.

For beginners

How vendor ACH setup works

Setting a vendor up for ACH takes five steps, from sending the form to the first payment landing. Never skip the verification step, because that is where bank-detail fraud gets stopped.
  1. 1
    Send

    Email the blank form to the vendor's finance contact once the purchase is approved.

  2. 2
    Collect

    Get the signed form back with a voided cheque or bank letter, through a secure upload rather than an email body.

  3. 3
    Verify

    Call the vendor on a number you already hold and have them read the details back. Record who confirmed them.

  4. 4
    Enter

    One person keys the details into the vendor master and a second person approves the change.

  5. 5
    Confirm

    Send a prenote or small test payment if you use them, then tell the vendor when the first payment will arrive.

Need something simpler?

The simplest usable version is one page with legal name, tax ID, bank name, routing number, account number, account type, signature and date, plus a box where your team records the call-back.

Part 1 · ACH form

The vendor ACH authorization form template

The form has six sections: action type, vendor details, bank account, remittance, authorisation and an internal-use box. Every field below appears in the download with the same wording.

Send the form only to vendors you have already approved, and ask for it back with a voided cheque or a bank letter attached. Example values are placeholders, because real account numbers should never sit in a template, an email body or a shared drive.

1. Action type

FieldWhat to enterExample
Request typeTick one: new enrolment, change of details or cancellationNew enrolment
Effective dateFirst payment date this request applies to[Date]

2. Vendor information

FieldWhat to enterExample
Legal business nameExactly as on the W-9 or tax registrationHarbour Facilities LLC
Trading name (DBA)Only if different from the legal nameHarbour Cleaning
Tax IDEIN for US vendors[EIN]
Business addressRegistered street address[Address]
Payments contactName, role, phone and email of whoever handles receivables[Name], Accounts receivable

3. Bank account details

FieldWhat to enterExample
Bank nameName of the receiving bank[Bank name]
Bank addressCity and state of the branch[City, State]
Routing number (ABA)The 9-digit ACH routing number, which can differ from the wire number[9-digit routing number]
Account numberFull account number, written clearly[Account number]
Account typeChecking or savingsChecking
Account holder nameMust match the legal business nameHarbour Facilities LLC
Supporting documentVoided cheque or signed bank letterBank letter attached

4. Remittance details

FieldWhat to enterExample
Remittance emailWhere payment advices should go[Remittance email]
Reference on paymentsWhat the vendor needs to match your paymentInvoice and PO number

5. Authorisation and signature

FieldWhat to enterExample
Authorisation statementPre-printed consent to ACH depositsSee wording below
Change and error noticeVendor agrees to report account changes or payments received in errorSee wording below
Authorised signatoryPrinted name and title of someone able to commit the vendor[Name], Finance director
Signature and dateHandwritten or e-signature[Signature], [Date]

6. For internal use only

FieldWhat to enterExample
Vendor numberFrom your vendor masterV-0412
Call-back number and sourceTaken from the contract or vendor master, never from the form[Phone], from contract
Verified by and dateWho confirmed the details by phone[AP team member], [Date]
Approved bySecond person who checked the entry[Controller]
Entered in systemDate the details went into the ERP or banking portal[Date]

Illustrative vendor. Placeholders only: never send real bank numbers by unencrypted email.

Authorisation wording
I authorise [Your Company Name] to deposit payments owed to [Vendor Legal Name] into the bank account named on this form by ACH credit. If a payment is deposited in error, I authorise [Your Company Name] to reverse the entry for the amount of the error only.

[Vendor Legal Name] will tell [Your Company Name] in writing of any change to these account details, and of any payment received in error, as soon as it is known.

This authorisation stays in effect until [Your Company Name] receives written notice of a change or cancellation, signed by an authorised signatory, and has had a reasonable time to act on it. Requests made by email or phone alone will not be accepted.

Authorised signatory: [Name]
Title: [Title]
Signature: [Signature]
Date: [Date]
This template is a starting point, not legal advice. Have your counsel review it before you sign.
Part 2 · Request email

Email to send the ACH form to a vendor

Send the form from your usual AP address with a short note listing what to return and how. Tell the vendor up front that bank details are never accepted by email alone.

A clear cover email gets the form back complete the first time. It also sets expectations about verification, so the vendor is not surprised when you phone to confirm the account.

ACH setup request email
Subject: ACH payment setup for [Vendor Legal Name]: form attached

Dear [Vendor Contact Name],

Thank you for working with [Your Company Name]. We pay suppliers by ACH, so please complete the attached vendor ACH authorization form before your first invoice is due on [Date].

Please return:
1. The completed and signed form.
2. A voided cheque or a letter from your bank confirming the account name and number.
3. A signed W-9, if you have not already sent one.

Upload the documents to [Secure Upload Link] or post them to [Address]. Please do not type bank details into the body of an email.

When we receive the form, a member of our AP team will call your finance contact on a number we already hold to confirm the details. Payments start after that call.

If you have questions, contact [AP Contact Name] at [AP Email] or [AP Phone].

Kind regards,
[Your Name]
[Title]
[Your Company Name]
Part 3 · Verification

How to verify vendor bank details

Call the vendor on a phone number you already hold, have them read the details back, and get a second person to approve the entry. Do the same for every change request, however small.

Verification is the step that makes the form worth having. Fraudsters impersonate real suppliers with convincing change requests, so a signed form proves nothing until someone confirms it through a separate channel.

0 of 9 done

Before you call

During the call

Before the first payment

Treat every bank change as a fraud risk: 76% of organisations faced attempted or actual payments fraud in 2025 (AFP).

Red flags in a change request

Red flagWhy it mattersWhat to do
Arrives just before a payment runPressure leaves no time to checkPay the old account or hold the payment
Sender domain differs slightlyA lookalike address is a common trickCompare it with past emails from the vendor
Account holder name differsMoney would reach a different businessAsk for a bank letter in the legal name
Asks to redirect all open invoicesMaximises the loss in one goVerify, then apply only to new payments
Part 4 · Setup log

Vendor ACH setup log for Excel

The log records every form from request to first payment, with the call-back and approver on each row. Formulas show how long each form has been open and flag rows where controls were skipped.

Keep one row per form, including change requests, so each vendor's bank detail history stays in one place. Auditors usually ask for exactly this list.

VendorActionRequestedReceivedVerifiedDays openStatus
Harbour FacilitiesNew setup01 Sep04 Sep05 Sep4Active
Brightline SoftwareNew setup10 Sep12 Sep16 Sep6Active
Acme Office SupplyBank change22 Sep22 Sep23 Sep1Active
Kestrel DataNew setup15 Sep15Chasing
Northwind LogisticsBank change08 Sep08 Sep22Verify

Illustrative data as at 30 Sep 2026. Northwind's request failed its call-back, so the change stays on hold.

Build it yourself

Works in Excel and Google Sheets. Headers in row 1, data from row 2, formulas copied down.

ColHeaderEntry or formulaWhat it does
AVendorTextLegal name, as on the form
BVendor numberTextFrom the vendor master
CActionDrop-down: New setup, Bank change, CancellationWhat the vendor asked for
DRequestedDateWhen you sent the form or received the request
EForm receivedDateBlank until the signed form arrives
FCall-back dateDateBlank until the details are confirmed by phone
GNumber sourceDrop-down: Contract, Vendor master, OtherWhere the call-back number came from
HVerified byTextWho made the call
IApproved byTextWho approved the vendor master entry
JDays open=IF(F2='',TODAY()-D2,F2-D2)Days from request to verification, or to today
KStatus=IF(E2='',"Chasing",IF(F2='',"Verify",IF(I2='',"Approve","Active")))Where the form is stuck
LControl check=IF(OR(G2='Other',AND(H2<>"",H2=I2)),"Review","OK")Flags an unsafe number source or one person doing both checks

Spendflo supplier onboarding collects vendor details and documents in one flow, with approvals.

See supplier onboarding
Glossary

ACH terms on the form, explained

Vendors often ask what these terms mean before they sign. These six cover nearly every question you will get about the form.
Routing number (ABA)

The 9-digit number that identifies the vendor's bank. Banks sometimes use a different number for wires, so ask for the ACH one.

Prenote

A zero-dollar test entry sent before the first live payment. It checks the account exists, not who owns it.

CCD

The standard ACH format for business-to-business payments, with room for a short line of remittance information.

CTX

A business ACH format that can carry detailed remittance for many invoices with a single payment.

Remittance advice

The note that tells the vendor which invoices a payment covers, usually sent by email on the payment date.

Payment methods

ACH, wire or cheque for vendor payments

ACH suits regular, planned vendor payments and is usually the cheapest electronic option. Wires suit urgent or large one-off payments, and cheques suit vendors who cannot yet take electronic payment.
ACHWireCheque
SpeedUsually 1-2 business days, same day if your bank offers itUsually same dayDays in the post, then clearing
Cost to sendLow bank fee per paymentHigher bank fee per paymentPrinting, postage and staff time
Remittance detailTravels with the payment (CCD or CTX)Limited reference fieldPaper stub in the envelope
If sent to the wrong accountHard to recover once settledVery hard to recoverCan be stopped before it is cashed

General practice: fees and timings depend on your bank. Moving most suppliers off cheques? Read about vendor payment automation.

Best practices

Do this, avoid that

Verify every new account and every change by phone, and keep the signed form with the vendor record. Most ACH losses trace back to a change request nobody checked.

Do

  • ✓
    Call back on a known number

    Use the number in the contract or vendor master, never the one on the request.

  • ✓
    Split entry and approval

    One person enters bank details and a different person approves them.

  • ✓
    Ask for bank proof

    A bank letter or voided cheque in the vendor's legal name catches mismatched accounts.

  • ✓
    Store forms securely

    Keep signed forms in a restricted folder linked to the vendor record, not in shared inboxes.

  • ✓
    Re-check dormant vendors

    Reconfirm details for any vendor you have not paid in a year before paying again.

Avoid

  • ×
    Changes by email alone

    An email with a signed form attached can be forged, so it is never enough on its own.

  • ×
    Rushed changes before a run

    Hold the change and pay the existing account rather than skip the call-back.

  • ×
    Bank details in chat or email

    Every copy in an inbox is another place the numbers can leak from.

  • ×
    Prenotes as proof of ownership

    A prenote confirms the account exists, not that it belongs to your vendor.

How to use it

Set it up in a morning

Brand the form, set up the log, then send it to every vendor you still pay by cheque. Verify each return before the next payment run.
  1. Step 1

    Brand the form

    Add your logo, legal name and AP contact to the Word file, then lock the authorisation wording.

  2. Step 2

    Pick a secure return route

    Set up an upload link or portal, so completed forms never arrive as email attachments.

  3. Step 3

    Send in batches

    Start with vendors you pay most often by cheque and log each request on the day you send it.

  4. Step 4

    Verify and switch

    Call back, get the second approval, then move each vendor to ACH from the next payment run.

Example

One bank change, caught in time

A change request that lands just before a payment run deserves the hardest check. A two-minute call-back stopped this one.

On 24 Sep, an email claiming to be from Northwind Logistics asks AP to move payments to a new account before the 30 Sep run, with a signed form attached. The AP clerk calls Northwind on the number in the contract. Their finance team never sent it. The row stays at Verify and the 2,500.00 payment goes to the original account. Illustrative scenario.

Ready to use it? Download the vendor ach authorization form template

Every part on this page, in Word, Excel, Google Sheets and PDF, with the examples filled in.

Variants

Fit it to your business

Small businesses need only the form and a call-back note on file. Larger AP teams add the setup log, a second approver and a yearly re-check of dormant vendors.
Under 50 vendors

Small business

Use the form and keep the call-back details on the form itself. If one person does everything, have the owner approve every bank change.

50-1,000 vendors

Mid-market AP team

Run the setup log, split entry and approval, and review the control-check column before each payment run. Fold the form into your AP controls.

Overseas suppliers

Non-US vendors

ACH is a US network. For overseas suppliers, swap the routing fields for IBAN and SWIFT or BIC, and pay by international wire or a payment provider.

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Bottom line

A form is only as safe as the check behind it

A good vendor ACH form collects the right bank details, gets them signed and leaves a record of who confirmed them. The call-back and the second approver are what turn that paperwork into protection.

FAQ

Frequently asked questions

Quick answers to what people ask most about the vendor ach authorization form template.

Can I find a free ACH form template for vendors?

Yes, you can download one free from this page, along with a cover email, a verification checklist and a setup log. Add your logo and authorisation wording, then send it to each vendor you plan to pay by ACH.

Where do I get an ACH authorization form?

Your bank may supply one, but most businesses use their own form or a ready-made template like the one on this page. You can download the vendor ACH authorization form here in Word or PDF, with a setup log in Excel.

How to fill out vendor ACH authorization form?

Tick the action type, enter your business and contact details and tax ID, add the bank name, routing number, account number and account type, then give a remittance email and sign. Attach a voided cheque or bank letter, and download the template on this page to see an example for every field.

What is a vendor ACH form?

It is a form a supplier signs to give you its bank account details and permission to pay it by ACH direct deposit instead of by cheque. The free download covers action type, vendor details, bank details, remittance, signature and an internal verification box.

Can I download the vendor ACH authorization form in Word or PDF?

Yes, the download buttons at the top of this page give you the Word form, a printable PDF and the Excel setup log. The Word file is fillable, so vendors can type their details and sign electronically.

Template library

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  • 6-section ACH form
  • 9-point verification checklist
  • Setup log with formulas
  • Word, Excel and PDF