ACH Deposit
Vendor Authorization
The University of Akron
Office of the Associate Vice President/Controller
Accounts Payable
1. Please complete form and return to the Accounts Payable department with a canceled check which identifies both your account
number and the depository’s (financial institution) nine-digit transit routing number.
2. The University of Akron will deposit payments directly into your bank account and send an e-mail notification of the deposit so
that you know when the money is available to you.
3. Contact Accounts Payable with any questions at (330) 972-7200.
Section 1: Depository Information
Depository (Bank) Name:
Transit Routing Number:
Account:
Check only one:
Checking
Savings
TRANSIT ROUTING NUMBER: This is the identification number of
your financial institution/Depository. This is normally located in
the lower left hand corner of your check or deposit ticket. Also,
you may call your financial institution and request their number.
YOUR ACCOUNT NUMBER: This is your checking or savings account
number at your financial institution/depository. Be sure to
indicate if the account number is for checking or a savings account
(check only one box).
Section 2: Vendor Information
Business name:
Address: (Street, City, State, Zip):
Contact person:
Office phone number:
E-mail address for notification:
(E-mail address is mandatory for this service)
Section 3: Authorization
I hereby authorize THE UNIVERSITY OF AKRON and the DEPOSITORY named above to initiate direct deposit entries and to initiate, if
necessary, reversal entries to adjust for any deposit entries made in error to my account. This authority is to remain in full force and
effect until THE UNIVERSITY OF AKRON has received written notification from me of its termination in such time and in such manner
as to afford THE UNIVERSITY OF AKRON and DEPOSITORY a reasonable opportunity to act on it. I understand THE UNIVERSITY OF
AKRON maintains the right to terminate, suspend, or amend the ACH Deposit program in whole or in part at any time.
Chief Financial Officer Signature:

Return completed form to:
Date:
The University of Akron
Accounts Payable
302 Buchtel Common
Akron, Ohio 44325-6214
Accounts Payable Use ONLY
Vendor ID:
CAP-6-04[A] 12/06
Date Entered:
Entered by: