Re: Check Payments Moving To Electronic Payments Via ACH
Dear Valued Supplier:
The City of Riverside is in the process of transitioning all payments made by paper check to
electronic payments. In order to ensure that your payments continue to be processed in a timely
manner, please complete the attached agreement and follow submission instructions.
The City of Riverside strongly encourages the use of electronic payments via ACH. ACH payments
provide both the sender and receiver with the advantages of improved controls, reduced chances for
check fraud, better cash management and greatly reduced bank charges.
Remittance information will be emailed or faxed to you at the email address/fax number you provide
on the ACH form. The details of each payment will be sent on an attached text document at the time
payment is made. This remittance file is in text format and can easily be imported into your
receivables system. To ensure delivery of remittance emails from The City of Riverside, please add
[email protected] to your email's “safe” list.
When your payment is made via ACH, funds will be available in your provided bank account on the
date listed in your email remittance.
Best Regards
Cynthia Johnson
Accounts Payable Supervisor
City ofRiverside
Phone number: (951) 826-5548
Email address: [email protected]
Office of the City Manager/Finance
3900 Main St.6
th
Floor
Riverside,CA92522
951-826-5454 Phone
951-826-5683 Fax
ACH AUTHORIZATION FORM
Vendor Information
Zip
Bank Account #
ACH02 12/13/07
Vendor No.
Address
City
ST
Above named Vendor hereby authorizes the City of Riverside to originate Automated Clearing House
electronic funds transfer (EFT) credit entries to Vendor's account, as indicated below, for payment/
reimbursement of goods and/or services.
Accounting/ACH Contact Name
Email Address for Remittance Advice (**required**)
Phone
Banking Information
Name on Bank Account
Bank Routing Number*
*Please provide the 9 digit bank routing number from a check. The routing number
from a deposit slip is invalid.
Submit a copy of a voided check with this form.
If you change banks or accounts please provide at least thirty (30) days written notice.
Vendor Authorization:
Authorized Name/Title
Authorized Signature
Date
Date Received:
COR Accounts Payable Use:
Date Entered:
Entered by:
New Setup
Change
City of Riverside Accounts Payable 3900 Main St. 6th Floor Riverside, CA 92522
Cyndi Johnson (951) 826-5548 Cathy Gomez (951) 826-5885
FAX (951) 826-5683
Fax
Checking
Savings
Print Form