Vendor ACH/Direct Deposit Authorization Form
This form is used by vendors to authorize deposits into their bank accounts. By completing and signing this form, vendors allow the City of Davenport to electronically deposit payments directly into their accounts. It is also used to change or cancel existing direct deposit instructions.
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How do I fill this out?
To fill out the Vendor ACH/Direct Deposit Authorization Form, start by entering your vendor/payee information. Next, provide your financial institution details, including bank name, account number, and routing number. Finally, sign the authorization section to allow the City of Davenport to process direct deposits.

How to fill out the Vendor ACH/Direct Deposit Authorization Form?
1
Enter vendor/payee information.
2
Provide contact details.
3
Fill in the financial institution information.
4
Attach a voided check or direct deposit authorization.
5
Sign the form and submit.
Who needs the Vendor ACH/Direct Deposit Authorization Form?
1
Vendors who wish to receive electronic payments from the City of Davenport.
2
Payees who need to update their direct deposit information.
3
Companies that want to cancel their current direct deposit arrangements.
4
Organizations that require a record of their ACH deposit authorization.
5
Vendors needing to correct bank account details on file.
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What are the instructions for submitting this form?
To submit this form, complete all required fields and attach a voided check or direct deposit authorization. Submit the form by email to AP@davenportiowa.com, fax to (563) 328-6718, or mail to Office of Assisted Housing, 501 W 3rd St, Davenport, IA 52801. For any questions or further assistance, contact the City's Accounts Payable division at (563) 326-7718. Ensure all your information is accurate to avoid processing delays.
What are the important dates for this form in 2024 and 2025?
Ensure to mark your calendar for periodic review and updates of your direct deposit information to avoid discrepancies.

What is the purpose of this form?
The purpose of the Vendor ACH/Direct Deposit Authorization Form is to streamline and secure the payment process for vendors and payees working with the City of Davenport. By providing accurate bank details and authorization, vendors can receive payments directly to their bank accounts, minimizing delays and errors associated with paper checks. This form also allows vendors to update or cancel their bank account information, ensuring that the City’s records remain current and payments are directed correctly.

Tell me about this form and its components and fields line-by-line.

- 1. Vendor/Payee Information: Includes fields for name, address, contact person's name, telephone number, and email address.
- 2. Financial Institution Information: Requires bank name, bank address, name on bank account, account number, routing number, and type of account.
- 3. Approvals/Authorizations: Contains fields for the vendor's name, signature, and date to authorize direct deposits.
- 4. For Office of Accounts Payable Use Only: Internal section for approval and review by the Accounts Payable division.
What happens if I fail to submit this form?
Failing to submit this form can result in significant delays or disruptions in your payment processing.
- Payment Delays: Without authorization, the City cannot deposit funds, leading to deferred payments.
- Discrepancy Issues: Inaccurate bank details can cause payment discrepancies and possible reversals.
- Administrative Errors: Lack of updated information may result in administrative complications and communication delays.
How do I know when to use this form?

- 1. New Direct Deposit Setup: For vendors initiating electronic payments for the first time.
- 2. Bank Account Changes: When updating your bank account info.
- 3. Cancellation: To terminate existing direct deposit instructions.
- 4. Contact Information Updates: If there's a change in contact details tied to your account.
- 5. Error Rectification: To amend any errors in previously submitted information.
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What information do I need to fill out the Vendor ACH/Direct Deposit Authorization Form?
You'll need your vendor/payee information, bank details, and a voided check or direct deposit authorization.
Can I cancel my direct deposit using this form?
Yes, you can use the form to cancel existing direct deposit instructions with the City of Davenport.
How long does it take for changes to take effect?
Changes typically take seven to ten business days to be processed.
What should I do if there's a discrepancy in my deposit?
Contact the City of Davenport Accounts Payable division immediately to address any discrepancies.
Do I need to notify the City of Davenport if my banking information changes?
Yes, you must notify the City of Davenport AP in writing immediately of any changes in banking information.
Can multiple people sign the form?
Only the authorized individual responsible for the account should sign the form.
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