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ACH Payment Form for Saudi Arabia

ACH Payment Form Template for Saudi Arabia

A standardized form used in Saudi Arabia for setting up automated clearing house (ACH) payment arrangements between banks and account holders. This document, compliant with SAMA regulations, enables recurring or one-time electronic fund transfers within the Saudi banking system. It captures essential account holder information, banking details, payment specifications, and authorization terms, while incorporating necessary safeguards for data protection and transaction security. The form must be bilingual (Arabic and English) and includes provisions for both domestic and international payment processing through the Saudi payment system (SARIE).

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What is a ACH Payment Form?

The ACH Payment Form is a critical financial document used in Saudi Arabia to establish automated payment arrangements between parties within the Saudi banking system. This document is essential when setting up recurring payments, direct debits, or automated fund transfers, and must comply with the Saudi Arabian Monetary Authority (SAMA) regulations and the SARIE payment system requirements. The form captures crucial information including account holder details, bank account information, payment specifications, and explicit authorization for ACH transactions. It is designed to facilitate both business-to-business and consumer-to-business transactions while incorporating necessary security measures and data protection requirements. The form must be completed in both Arabic and English, reflecting Saudi Arabia's legal requirements for financial documentation.

What sections should be included in a ACH Payment Form?

1. Account Holder Information: Details of the account holder including full name (in English and Arabic), contact information, and identification details as per SAMA requirements

2. Bank Account Information: Complete banking details including bank name, IBAN, account number, and branch information

3. Payment Authorization: Explicit authorization for ACH debits, including purpose of payments and authorization terms

4. Payment Details: Specification of payment amount, frequency, and duration of the authorization

5. Terms and Conditions: Standard terms governing the ACH payment arrangement, cancellation rights, and processing timeframes

6. Authorization Declaration: Final declaration confirming the account holder's agreement to the ACH arrangement and accuracy of provided information

What sections are optional to include in a ACH Payment Form?

1. Multiple Account Authorization: Additional section for authorizing ACH payments from multiple accounts, used when the payer needs to specify alternative accounts

2. International Transfer Terms: Additional terms for cross-border payments, required when the beneficiary account is outside Saudi Arabia

3. Variable Payment Authorization: Special terms for variable payment amounts, used when payment amounts may fluctuate

4. Digital Authorization Consent: Additional section for electronic form submission, required when the form is completed digitally rather than in paper format

What schedules should be included in a ACH Payment Form?

1. Schedule A - Fee Schedule: Detailed breakdown of all applicable fees and charges for ACH processing

2. Schedule B - Processing Timeline: Standard processing times and cut-off times for ACH transactions

3. Appendix 1 - Required Documentation: List of supporting documents required for ACH setup (e.g., ID copies, commercial registration)

4. Appendix 2 - Cancellation Form: Standard form for cancelling or modifying the ACH payment arrangement

Authors

Alex Denne

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

Jurisdiction

Saudi Arabia

Publisher

Genie AI

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions






























Clauses

























Relevant Industries

Banking and Financial Services

Retail

Insurance

Telecommunications

Utilities

Real Estate

Education

Healthcare

Government Services

Professional Services

Manufacturing

Distribution and Logistics

Relevant Teams

Finance

Accounts Payable

Treasury

Banking Operations

Compliance

Account Management

Payment Services

Financial Operations

Accounts Receivable

Banking Relations

Financial Control

Relevant Roles

Finance Manager

Accounts Payable Manager

Treasury Manager

Financial Controller

Banking Operations Manager

Compliance Officer

Account Manager

Payment Services Manager

Finance Director

Chief Financial Officer

Accounts Receivable Manager

Banking Relations Manager

Financial Services Coordinator

Payment Processing Specialist

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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