Edmonton Pre-Authorized Debit Application Form
This form is required for setting up pre-authorized debit payments with the City of Edmonton. It includes important details for corporate billing and payment processing. Properly filling out this form ensures a successful debit arrangement with the city's Accounts Receivable department.
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How do I fill this out?
To fill out the PAD Application Form, start by providing accurate customer information, including your full name and address. Next, input your bank account details, ensuring to double-check the accuracy of the transit and institution numbers. Finally, authorize the City of Edmonton to debit your account and sign the form.
How to fill out the Edmonton Pre-Authorized Debit Application Form?
1
Print the form and complete the Customer Information section.
2
Fill in your Bank Account Information completely.
3
Select whether this is a new, change, or cancellation of a PAD.
4
Sign and date the form as required.
5
Submit the completed form with a voided cheque.
Who needs the Edmonton Pre-Authorized Debit Application Form?
1
Businesses that frequently pay city services need this form to automate their payments.
2
Corporate entities managing multiple accounts can benefit from streamlined payment processing.
3
Individuals seeking to simplify their monthly payments to the city.
4
Organizations that want to ensure timely payments to avoid penalties.
5
Residents who prefer to manage their payments electronically without manual intervention.
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What are the instructions for submitting this form?
To submit the completed PAD Application Form, you can send it by email to corporate.billing@edmonton.ca or fax it to 780-496-4902. Alternatively, mail the form to the City of Edmonton Accounts Receivable department at P.O. Box 2600, Edmonton, AB T5J 5A1. Make sure to keep a copy of the form for your records and ensure that a voided cheque is attached for bank account verification.
What are the important dates for this form in 2024 and 2025?
Key dates for the PAD agreement include January 1 for initial setup and subsequent monthly debits that are typically processed by the 22nd of each month. Ensure your agreement is active to avoid any lapses in payment. Deadlines for changes or cancellations require notice by the 22nd day of the month or 7 business days prior to the debit date.
What is the purpose of this form?
The purpose of the PAD application form is to facilitate automatic payments for services provided by the City of Edmonton. It streamlines the billing process for residents and businesses, ensuring timely payments without manual intervention. Completing this form accurately enables the City to debit your bank account for the agreed-upon amounts, aiding in budget management and payment consistency.
Tell me about this form and its components and fields line-by-line.
- 1. Customer Information: Details about the account holder including name, address, and contact information.
- 2. Bank Account Information: Information related to the bank account including account number and bank transit number.
- 3. PAD Details: Selection of whether this is a new application, change, or cancellation.
- 4. Signatures: Signature fields for account holders indicating authorization.
- 5. Terms and Conditions: Acknowledgment of the terms associated with pre-authorized debit.
What happens if I fail to submit this form?
Failure to submit the PAD application form may result in delays in setting up automatic payments for your account. Without submission, you will need to make manual payments, which can lead to potential late fees. Ensure all required fields are completed and submitted on time to avoid these issues.
- Late Payments: Not submitting the form may result in late payments on your account, leading to penalties.
- Service Disruption: Potential disruption of services if payments are not processed on time.
- Manual Processing: Payments will need to be handled manually, reversing the benefits of pre-authorized debit.
How do I know when to use this form?
- 1. Initial Setup: When establishing a new pre-authorized debit for payments.
- 2. Change of Banking Details: Use this form if you need to update your bank account information.
- 3. Cancellation of PAD: Submit this form to cancel an existing pre-authorized debit agreement.
Frequently Asked Question
What is the purpose of the PAD Application Form?
This form allows you to set up automatic debit payments for your account with the City of Edmonton.
How do I fill out the PAD Application Form?
Begin by providing your customer and banking information clearly in the designated fields.
Can I edit the PDF after filling it out?
Yes, you can edit the PDF directly in PrintFriendly before downloading it.
How do I submit the completed form?
You can submit the form by mail, fax, or email to the Accounts Receivable department.
What if my bank account information changes?
You must notify the Accounts Receivable department in writing about the changes.
Is there a cancellation policy?
Yes, you can cancel your PAD agreement by providing written notice before the next scheduled debit.
What happens if my payment is dishonored?
A dishonored payment must be replaced with a new payment method and may incur a service charge.
Can I sign the form electronically?
Yes, PrintFriendly allows you to add your electronic signature directly on the form.
What information do I need for the bank account section?
You will need your bank account number, transit number, and financial institution number.
How can I ensure my payments are on time?
Filling out this form correctly will help ensure that your payments are automatically debited on time.
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