Eft setup Form

EFT Setup Form - US


All fields are ‘Required” unless marked ‘Optional’.
US DOT:  
Carrier Identifier/SCAC: 
1. Remit to Name:  
2. Name of US Financial Institution:  
Name on Account:  
Bank ACH Routing Number (9 Digits):  
Bank Account Number:  
Checking or Savings
3. Remittance Email:  
4. Admin’s contact name
Phone   Email  

Version 1.0