AUTHORIZATION AGREEMENT AND ENROLLMENT FORM FOR ELECTRONIC VENDOR PAYMENT AND REMITTANCE ADVICEAuthorization Agreement for Electronic Vendor Payment • April 11th, 2013
By 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. All electronic payment authorizations/changes require a 10-day prenote process. During the prenote process all payments will default to a check. 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 Dept. Social Services 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 DEPT. SOCIAL SERVICES OFFICE AUTHORIZATION AGREEMENT AND ENROLLMENT
SOUTH CAROLINA STATE TREASURER’S OFFICE AUTHORIZATION AGREEMENT AND ENROLLMENT FORMAuthorization Agreement for Electronic Vendor Payment • September 26th, 2002
By signing this form, I authorize the State of South Carolina (hereinafter “the State”) to initiate electronic credit entries to a checking or a savings
AUTHORIZATION AGREEMENT AND ENROLLMENT FORM FOR ELECTRONIC VENDOR PAYMENT AND REMITTANCE ADVICEAuthorization Agreement for Electronic Vendor Payment • April 11th, 2013
By 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. All electronic payment authorizations/changes require a 10-day prenote process. During the prenote process all payments will default to a check. 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 Dept. Social Services 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 DEPT. SOCIAL SERVICES OFFICE AUTHORIZATION AGREEMENT AND ENROLLMENT
SOUTH CAROLINA STATE TREASURER’S OFFICE AUTHORIZATION AGREEMENT AND ENROLLMENT FORMAuthorization Agreement for Electronic Vendor Payment • September 26th, 2002
By 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.
