Templates Business Operations Payment ACH Payment Form Template

ACH Payment Form Template

Use This Template
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Payer Information

Full Name

Bank Account Information

We will contact you to collect sensitive banking data using our secure portal.

Payment Details

Authorization and Consent

Clear Signature

If you’re in need of a convenient ACH Payment Form to streamline your payment collection process, WPForms has got you covered. Our customizable ACH Payment Form template is designed to help you easily gather the necessary information for efficient and secure transactions.

Using the ACH Payment Form Template is a Breeze

The first section of the form focuses on gathering Payer Information, including their full name, email address, phone number, and address details. This ensures accurate identification and contact information for seamless payment processing.

Moving on, the Bank Account Information section allows payers to provide some banking details so that sensitive information can be relayed through a secure portal.

Next, the Payment Details section allows payers to specify the payment amount, payment description or purpose, and any relevant invoice or reference number. This helps in categorizing and tracking payments effectively.

To comply with legal and regulatory requirements, there is an Authorization and Consent section. Payees can give their consent for the initiation of the ACH payment and agree to the terms and conditions of the payment process.

Lastly, to ensure everything is confirmed and checked thoroughly, the form presents a Digital Signature field, confirming the authorization of the payment, along with the date of the signature for record-keeping purposes.

Sign up with WPForms today to access our ACH Payment Form template, along with a wide range of customizable templates designed to support your business growth!