Electronic Funds Transfer (EFT) Authorization Completed Form Examples and Samples
Explore free, detailed examples and samples of completed Electronic Funds Transfer (EFT) Authorization forms. View filled-out templates for vendor payments, direct deposits, and more to understand how to correctly authorize electronic payments.
Electronic Funds Transfer (EFT) Authorization Example for Vendor Payments
How this form was filled:
This example shows a completed EFT Authorization form for a freelance vendor, Creative Designs Co., authorizing a client to send payments directly to their business checking account. Key details include the payee's name, business information, financial institution, routing number, and account number, along with a signature and date to validate the agreement.
Information used to fill out the document:
- Payee Name: Jane Smith
- Business Name: Creative Designs Co.
- Authorization Type: New Authorization
- Transaction Type: Credit (Deposits into Payee's Account)
- Payee Address: 456 Oak Avenue, Anytown, CA, 98765
- Financial Institution: First National Bank
- Bank Routing Number: 123456789
- Bank Account Number: 9876543210
- Account Type: Checking
- Signature: Jane Smith
- Date Signed: 01/15/2026
What this filled form sample shows:
- Clear indication of a New Authorization for payments.
- Complete and accurate banking information, including the bank name, routing number, and account number.
- Correct specification of the account type (Checking).
- A valid signature and date, which are crucial for making the authorization legally effective.
Form specifications and details:
| Use Case: | Vendor/Contractor setting up direct deposit. |
| Form Name: | Electronic Funds Transfer (EFT) Authorization Agreement |
| Purpose: | To authorize a company to electronically transfer funds (payments) into a vendor's specified bank account. |
Created: February 25, 2026 06:44 PM
