The ACH Payment Form is a crucial document used in the Netherlands for establishing automated payment arrangements between parties. This form is designed to comply with Dutch financial regulations, including the Financial Supervision Act (Wft) and the implementation of EU Payment Services Directive 2 (PSD2). The document is typically used when setting up recurring payments such as subscription services, utility payments, or regular business transactions, though it can also be used for one-time payment authorizations. The ACH Payment Form includes essential information such as account holder details, bank account information, payment specifications, and explicit authorization language, all structured to meet the requirements of Dutch banking regulations and data protection laws. It serves as a legal record of payment authorization while ensuring compliance with both national and EU-wide payment processing standards.
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1. Account Holder Information: Details of the account holder including full legal name, address, and contact information as required by Dutch banking regulations
2. Bank Account Details: IBAN number, BIC/SWIFT code, and bank name of the account holder
3. Payment Authorization: Explicit authorization language for ACH debits, including the scope of the authorization and the account holder's rights
4. Transaction Details: Information about the payment amount, frequency (if recurring), and purpose of the payment
5. Rights and Responsibilities: Overview of the account holder's rights regarding cancellation, refunds, and dispute resolution under Dutch law
6. Privacy Notice: Statement about how personal and financial information will be handled in compliance with GDPR/AVG
7. Signature Block: Space for date, signature, and printed name of the account holder
1. Recurring Payment Terms: Additional terms specific to recurring payments, including payment schedule and duration - include when the form is for recurring rather than one-time payments
2. Multiple Account Authorization: Section for authorizing payments from multiple accounts - include when the account holder needs to set up payments from more than one account
3. International Payment Provisions: Additional terms for cross-border payments - include when payments may be processed internationally
4. Corporate Authorization: Additional authorization requirements for corporate accounts - include when the account holder is a business entity
1. Payment Schedule: Detailed schedule of payment dates and amounts (for recurring payments)
2. Fee Schedule: Breakdown of any applicable processing fees or charges
3. Required Identification Documents: List of required documentation for identity verification in compliance with Wwft requirements
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Relevant legal definitions
Clauses
Relevant Industries
Banking and Financial Services
Retail
E-commerce
Telecommunications
Utilities
Insurance
Professional Services
Education
Healthcare
Real Estate
Subscription Services
Non-profit Organizations
Relevant Teams
Finance
Accounts Receivable
Accounts Payable
Treasury
Operations
Compliance
Administration
Customer Service
Billing
Payment Processing
Relevant Roles
Financial Controller
Accounts Receivable Manager
Accounts Payable Manager
Treasury Manager
Payment Operations Manager
Compliance Officer
Financial Administrator
Banking Relations Manager
Credit Controller
Finance Director
Administrative Manager
Customer Service Manager
Billing Coordinator
Payment Processing Specialist
Financial Operations Analyst
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