Free ACH Authorization Form

A recurring Automated Clearing House (ACH) payment is a transaction where an individual, business owner, or company is paid directly from a buyer or user’s bank account for a purchase or ongoing service.

This is facilitated by the customer signing an ACH Authorization form to acknowledge and give consent to a future direct payment from their bank account.

This works as a form of legal contract between the 2 parties, as it shows permission has been given for the transaction via the account holder’s signature and provision of banking details.

An ACH authorization form is essential when collecting payment directly from a customer’s bank account. This is especially important if more than one payment is to occur.

It allows businesses to safely and securely obtain the consent of their customers to deduct money from their bank account for services rendered.

Ultimately, this authorization makes the payment process much more reliable for both parties.

For the business, it makes a potential chargeback claim or authorization hold less likely.

For the customer it allows them to know when payments will be taken to help them distinguish between the genuine transaction and fraudulent activity.

These documents differ slightly from credit card authorization forms. This is because ACH forms make a direct charge to an individual’s personal bank account instead of charging a credit card for the amount owed.

When using an ACH Authorization template, you will notice a number of key details.

These are included to make sure that you get exactly the information needed from the customer to successfully help the transaction go through.

You can usually find most of the following details on a draft ACH authorization:

• Name of the company collecting payment
• Personal data of the client being charged
• A statement acknowledging the permissions given
• Amount to be taken
• Banking details for the account that will be charged
• Date of the deduction and frequency of payments
• Description of the goods or services provided to the customer

The document must also be signed and dated by the owner of the bank account in order to show they consent to the transaction(s).

Filling out this form is a relatively simple process. You can use our ACH Authorization Form template, then task a lawyer to review the document to make certain everything is correct.

After the form is ready, it can either be given to the client with some or all the necessary information prefilled, such as the payment amount or your company’s name.

Alternatively, the form can be provided as a standard template with blank spaces the customer can fill in themselves.

When filling the form, all you or the client need to do is follow the steps below:

1. Download and print the template
2. Indicate how frequent the payments should be
3. Provide the personal details requested by the form
4. Complete any information detailing the charges that are to be made
5. Enter billing information needed to process payment
6. Sign and date the form

Both you and the payee should keep a copy of the completed ACH form for your records. This will help resolve any issues if disputes arise.

There are two main types of ACH authorization templates. These allow for either one-time purchases to be carried out or for multiple recurring payments to be taken.

Let’s look at these in a bit more detail in the following sections.

1-time ACH Authorization

As you might expect, a 1-time ACH authorization allows a single deduction of an agreed amount to be taken from an individual’s bank account.

This allows a payment to be confirmed at the time of purchase, with the money taken in a later transaction on a specified date.

Recurring ACH Authorization

This allows money to be taken on either a weekly or monthly basis. This will most commonly be used by subscription-based businesses such as gyms or to make regular payments to someone, such as to pay your monthly rent.

If using a standardized form, it can be helpful to look at an example template first.

Use our sample ACH authorization form below to get a clearer picture of what your document should look like.