Payment Authorization Form

Payment Authorization Form Template for Belgium

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5

4.8 / 5

Let's create your Payment Authorization Form

1. Select your governing law and document type:

2. Enter your key requirements:

3. Create your document to edit, review or download

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

"I need a Payment Authorization Form for my Belgian software company to set up recurring monthly payments from our corporate clients, with the first payment starting March 2025, including multi-currency support and strong authentication requirements."

Document background

The Payment Authorization Form is a critical document used in Belgian financial transactions to establish formal permission for funds transfer between parties. This document is essential when setting up direct debits, recurring payments, or authorizing significant one-time transactions. It must comply with Belgian financial regulations, including the Belgian Law of 11 March 2018 implementing PSD2, GDPR requirements, and relevant provisions of the Belgian Economic Law Code. The form captures necessary information such as account details, payment specifications, and authorization parameters while incorporating required consumer protection elements and data processing disclosures. It's commonly used in business-to-business and business-to-consumer contexts, requiring careful attention to authentication methods and signature requirements under Belgian law.

Suggested Sections

1. Form Title and Date: Clear identification of the document as a Payment Authorization Form with date of completion

2. Payer Information: Complete details of the individual/entity authorizing the payment, including legal name, address, and contact information

3. Payee Information: Details of the recipient/beneficiary of the payment, including name, address, and business/tax registration numbers if applicable

4. Payment Details: Specific information about the payment(s), including amount, currency, frequency, and payment method

5. Bank Account Information: Relevant banking details including IBAN, BIC/SWIFT, and account holder name

6. Authorization Declaration: Clear statement of authorization being granted, including scope and duration

7. Data Protection Notice: GDPR-compliant statement about how personal and financial data will be processed

8. Cancellation Rights: Information about how and when the authorization can be cancelled

9. Signature Block: Space for signature(s), date, and any witness requirements

Optional Sections

1. Recurring Payment Terms: Include when authorization is for recurring payments, specifying frequency and duration

2. Multiple Currency Authorization: Include when payments may be processed in different currencies

3. Third Party Authorization: Include when payment is being authorized by someone other than the account holder

4. Digital Authentication Method: Include when form will be completed electronically, specifying accepted authentication methods

5. Special Instructions: Include when specific payment processing instructions or conditions apply

6. Corporate Authorization: Include when the payer is a company, requiring details of authorized signatories and corporate approvals

Suggested Schedules

1. Schedule A - Payment Schedule: Detailed breakdown of payment dates and amounts for recurring payments

2. Schedule B - Terms and Conditions: Detailed terms and conditions of the payment authorization

3. Appendix 1 - Supporting Documentation: List of required supporting documents (e.g., ID verification, corporate resolutions)

4. Appendix 2 - Privacy Notice: Detailed GDPR-compliant privacy notice regarding data processing

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok��˰� | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Banking

Financial Services

Retail

E-commerce

Insurance

Telecommunications

Utilities

Professional Services

Healthcare

Education

Real Estate

Subscription Services

Non-profit Organizations

Government Services

Relevant Teams

Finance

Legal

Compliance

Treasury

Accounts Payable

Banking Operations

Payment Operations

Risk Management

Corporate Governance

Customer Service

Administrative Services

Relevant Roles

Finance Manager

Accounts Payable Specialist

Treasury Manager

Financial Controller

Compliance Officer

Legal Counsel

Account Manager

Payment Operations Manager

Banking Relations Manager

Financial Administrator

Contract Administrator

Risk Manager

Corporate Secretary

Finance Director

Payments Specialist

Find the exact document you need

Authorisation Form

A Belgian-law compliant document that formally grants specific powers or permissions from an authorizing party to an authorized representative.

tiktok���˰�

How tiktok���˰� reduced drafting time by 75% for a legal firm

Let's create your Payment Authorization Form

Authors

Alex Denne

Find the exact document you need

Authorisation Form

Company Authorization Letter

Authorization Letter To Collect Money

Authorization For Release Of Protected Health Information

Eft Agreement

Passport Parent Consent Form

Authorization Agreement

Authorization Letter To Receive

Authorization Letter To Get Diploma

Authorization Letter For Deed Of Sale

Authorization Letter For Cheque

Authorization Letter Credit Card

ACH Payment Form

Authorisation Letter For Vehicle

Authorisation Letter For Collection

Authorization Letter To Withdraw Money On My Behalf

Authorization Letter To Drive My Car

Eft Authorization Form

Client Authorisation Form

Direct Credit Authorisation Form

Automatic Deposit Form

Authorization For Release Of Information Form

Authorization Letter For Signature

Third Party Credit Card Authorization Form

Third Party Authorization Form

Payroll Deduction Form

Social Media Consent Form For Patients

Return Merchandise Authorization Form

Return Authorization Form

Release Of Information Form

Payment Authorization Form

Pre Authorized Debit Form

Parental Authorization Form

Medical Release Form For Minor

Credit Check Authorization Form

Credit Card Payment Authorization Form

Credit Card Authorization Form

Consent To Treat Form

Consent To Release Information Form

Consent Release Form

Bank Deposit Form

Bank Authorization Letter

Bank Authorization Form

Authorized Signatory Form

Authorized Representative Form

Authorization To Release Information

Authorization Letter To Whom It May Concern

Authorization Letter To Process

Authorization Letter For Giving Permission

Authorization Letter To Claim Check

Medical Release Form

Doctor Consent Letter

Dispatch Authorization Form

Medical Disclosure Form

Direct Debit Authorization Form

Delegation Form

Debit Card Authorization Form

Medical Authorization Form

Letter Of Authorization Form

Authorization Letter

Authorization Agreement For Direct Deposit

ACH Direct Deposit Form

Download our whitepaper on the future of AI in Legal

�ұ�Ծ���’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security

Innovation in privacy:

Want to know more?

Use Cases

tiktok��˰�

How tiktok��˰� reduced drafting time by 75% for a legal firm

�ұ�Ծ��’s Security Promise