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Disbursement Authorization Form for Saudi Arabia

Disbursement Authorization Form Template for Saudi Arabia

A standardized financial document used in Saudi Arabia that authorizes and facilitates the transfer or disbursement of funds from one party to another. The form complies with Saudi Arabian Monetary Authority (SAMA) regulations and Islamic banking principles, incorporating necessary elements for both local and international transactions. It includes detailed sections for authorization, beneficiary information, transaction details, and authentication requirements, ensuring proper documentation and traceability of financial transfers while meeting anti-money laundering and regulatory compliance requirements.

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Disbursement Authorization Form

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What is a Disbursement Authorization Form?

The Disbursement Authorization Form is a critical financial document used in Saudi Arabia to initiate and authorize financial transfers or payments. It serves as a formal instruction to financial institutions for releasing funds, whether for one-time transactions or recurring payments. The document must comply with Saudi Arabian Monetary Authority (SAMA) regulations, anti-money laundering laws, and Islamic banking principles. It typically includes comprehensive details about the authorizing party, beneficiary, transaction specifics, and purpose of payment. This form is particularly important in the Saudi Arabian context where financial transactions must adhere to both international banking standards and local Shariah law requirements. It provides a clear audit trail and serves as legal evidence of authorization for fund transfers.

What sections should be included in a Disbursement Authorization Form?

1. Authorization Details: Identification of the authorizing party, including full legal name, account details, and contact information

2. Disbursement Instructions: Specific details of the disbursement including amount (in numbers and words), currency, and payment method

3. Beneficiary Information: Complete details of the recipient including full name, bank account information, and any reference numbers

4. Purpose of Disbursement: Clear statement of the reason for the disbursement, ensuring Shariah compliance and regulatory requirements

5. Authorization Declaration: Formal statement authorizing the disbursement and confirming the accuracy of provided information

6. Authentication Section: Space for signature(s), official stamps, and date of authorization

What sections are optional to include in a Disbursement Authorization Form?

1. Multiple Currency Declaration: Required when transaction involves currency conversion or multiple currencies

2. Intermediary Bank Details: Include when transfer requires an intermediary bank

3. Special Instructions: For any additional requirements such as processing priorities or specific handling instructions

4. Supporting Documentation Reference: When additional documents are attached to support the disbursement request

5. Recurring Payment Details: Include for standing instructions or recurring disbursements

What schedules should be included in a Disbursement Authorization Form?

1. Schedule A - Terms and Conditions: Standard terms and conditions governing the disbursement authorization

2. Schedule B - Fee Schedule: Breakdown of any applicable fees and charges

3. Appendix 1 - Required Documentation Checklist: List of supporting documents required for processing

4. Appendix 2 - Verification Requirements: Specific verification and authentication requirements based on transaction type and amount

Authors

Alex Denne

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

Jurisdiction

Saudi Arabia

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions


































Clauses




























Relevant Industries

Banking & Financial Services

Corporate Services

Real Estate & Construction

Manufacturing & Industrial

Healthcare

Education

Retail & Commerce

Professional Services

Government & Public Sector

Non-Profit Organizations

Islamic Banking

International Trade

Relevant Teams

Finance

Treasury

Accounts Payable

Banking Operations

Financial Control

Compliance

Legal

Internal Audit

Payment Operations

Corporate Banking

Financial Operations

Relevant Roles

Financial Controller

Treasury Manager

Accounts Payable Manager

Finance Director

Chief Financial Officer

Banking Relations Manager

Compliance Officer

Financial Analyst

Account Manager

Payment Operations Manager

Treasury Operations Officer

Finance Operations Manager

Banking Operations Supervisor

Corporate Finance Manager

Financial Services Manager

Industries







Teams

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