Get Ada Enrollment Form - Bdragonpayb - Dragonpay

Filling out the ADA Enrollment Form for Dragonpay is a straightforward process that allows you to set up payment collections efficiently. This guide provides a clear and user-friendly approach to completing each section of the form, ensuring that all necessary information is accurately provided.

Follow the steps to complete the form online.

1. Click the 'Get Form' button to access the ADA Enrollment Form and open it in your preferred document editor.
2. Complete the 'Company Information' section. Enter the facility name, company name (or subscriber), address, contact person, department, email address, and phone number. Ensure that these details are accurate to avoid any delays.
3. Provide the 'Enrollment Details.' Fill in the principal name or biller name and community name. Double-check that the Merchant ID is correct.
4. In the 'Subscriber Details' section, input the account name in the specified format (Last, First, Middle) along with the email address and account number associated with your bank.
5. Review the 'Terms and Conditions.' Read through the document carefully. You may need to acknowledge your understanding and agreement to the terms, as they outline your responsibilities and the bank's requirements.
6. Sign the form in the designated areas for the subscriber's authorized signatory. Enter the date of signing next to your signature.
7. If applicable, ensure that the principal's authorized signatory also signs the form and dates it.
8. After completing the form, ensure all fields are filled out accurately. You can then save your changes, download a copy for your records, print the form for submission, or share it as required.

Begin filling out the ADA Enrollment Form online today to streamline your payment processes.