Hydro One Use Only
Vendor # ________________________
AUTHORIZATION OF ELECTRONIC FUNDS TRANSFER
Supplier/Vendor Remittance Name:
Remittance Address:
_________________________________________ (“Supplier”) hereby authorizes Hydro One Inc. and its subsidiaries/affiliates
(“Hydro One”) to electronically pay by means of an electronic funds transfer (“EFT”) payment any amounts owing by Hydro
One to the Supplier from time to time. The amounts owing to the Supplier should be deposited into the Supplier’s account (and
attached is a cheque marked “void” or a confirmation letter from your bank, for verification purposes) as follows:
Bank Name:
Branch & Street Address:
City:
Province:
Transit/Routing Number:
Postal Code:
Account Number:
Hydro One will advise Supplier of any payments made directly to the above described account by e-mail at the following:
E-mail address #1:
E-mail address #2:
Hydro One encourages the use of a ‘generic’ (i.e., not employee specific) e-mail address as it simplifies account maintenance.
If employee-specific addresses are provided, Hydro One would require two e-mail addresses
Contact Name:
Phone:
By executing this form, the Supplier agrees:
1. That this authorization will remain in full force and effect until revoked or changed by Supplier by providing Hydro One
with at least 10 days prior written notice duly authorized.
2. That you have confirmed with your banking institution its ability to accept EFT payments and you have accepted sole
responsibility to pay any related charges levied by your bank including any bank fees in relation to the transfer of funds or
any late fees if the funds committed are not credited through no fault of Hydro One.
3. That you will promptly inform Hydro One of any payments made in error and make arrangements with Hydro One
Accounts Payable for the earliest return or deduction of said funds.
4. To promptly provide all notices pertaining to this authorization, including the provision of an original executed copy of this
form to:
Hydro One
Accounts Payable
483 Bay Street, TCA
Toronto, Ontario
M5G 2P5
ACKNOWLEDGED AND AGREED TO THIS _________ DAY OF _______________, 20___
*
Name:
Title:
I have authority to bind the corporation.
* Insert Name of Supplier.