SOUTH CAROLINA STATE TREASURER’S OFFICE AUTHORIZATION AGREEMENT AND ENROLLMENT FORMAuthorization Agreement for Electronic Vendor Payment • September 26th, 2002
Contract Type FiledSeptember 26th, 2002By signing this form, I authorize the State of South Carolina (hereinafter “the State”) to initiate electronic credit entries to a checking or a savings account indicated below at the financial institution identified below. I understand that payments and reimbursements may be made by the State, to me or the vendor I represent and only to the one bank account indicated. In the event of overpayment to this bank account, I authorize the State to make an adjusting debit entry to the account up to the amount of the overpayment. I may revoke or cancel this authorization and enrollment by notifying the SC State Treasurer’s Office in writing at least fifteen (15) days prior to termination. Any change to the bank account or to a new financial institution will require a new SOUTH CAROLINA STATE TREASURER’S OFFICE AUTHORIZATION AGREEMENT AND ENROLLMENT FORM. Failure to notify the SC State Treasurer’s Office of an account change will delay payment.