Pre Authorised Debit Form

Pre Authorised Debit Form Template for England and Wales

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1. Select your governing law and document type:

2. Enter your key requirements:

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Key Requirements PROMPT example:

"I need a Pre Authorised Debit Form for my software subscription service that will collect monthly payments of £199 from business customers, with the first collection starting March 2025, including variable amount provisions for potential service upgrades."

Document background

The Pre Authorised Debit Form is a fundamental document in the UK's payment ecosystem, enabling organizations to collect regular payments efficiently while protecting consumers through the Direct Debit Guarantee scheme. Used extensively across England and Wales, this form is essential for establishing recurring payment arrangements and must comply with Payment Services Regulations 2017, Data Protection laws, and Bacs scheme rules. The document includes crucial information such as payment details, account holder information, and authorization declarations, forming a secure and regulated method for automated payment collection.

Suggested Sections

1. Account Holder Information: Full name, address, and contact details of the account holder

2. Bank Account Details: Sort code, account number, bank name and branch

3. Payment Details: Amount, frequency, and start date of payments

4. Authorization Declaration: Express consent to collect payments via direct debit

5. Direct Debit Guarantee: Standard Direct Debit Guarantee text as required by Bacs

Optional Sections

1. Variable Payment Information: Additional section required when payment amounts may vary, including details of how changes will be notified to the account holder

2. Multiple Account Options: Section to be included when offering the payer a choice of accounts to debit from

3. Service Reference: Optional section for identifying specific service or agreement being paid for

Suggested Schedules

1. Direct Debit Guarantee Terms: Detailed terms and conditions of the Direct Debit Guarantee scheme

2. Privacy Notice: Mandatory schedule detailing how personal and financial information will be processed in accordance with UK GDPR

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

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Pre Authorised Debit Form Template for England and Wales

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