Get Request To Terminate / Amend / Stop Payment

This guide provides clear instructions on how to complete the REQUEST TO TERMINATE / AMEND / STOP PAYMENT form online. Whether you need to terminate, amend, or stop a payment, following these steps will help ensure your request is processed efficiently.

Follow the steps to fill out the form accurately.

1. Press the ‘Get Form’ button to access the form and open it in the editor. This action allows you to begin filling out your request.
2. Fill in the date at the top of the form, ensuring it reflects the current date when you are submitting your request.
3. Provide your account holder's name and account number in the specified fields. This information is essential for validating your account and processing your request.
4. Indicate the type of request by selecting one of the options: Termination, Amendment, or Stop Payment. You can do this by deleting the options that do not apply to your request.
5. For Termination requests, list the names of the billing organizations and their reference numbers that you wish to terminate.
6. If you choose Amendment, provide the new instruction details, including the new payment or collection amount, frequency, and effective date of the new instructions.
7. For Stop Payment requests, you will also need to provide the names of the billing organizations and reference numbers for the payments you want to halt.
8. Complete the section for authorized signatories by entering the names and identification numbers for all individuals who are authorized to request changes on the account.
9. Review all the information entered to ensure accuracy. Make any necessary corrections before submitting your request.
10. Once all sections are completed and verified, save your changes. You can then download, print, or share the form as needed.

Complete your document online today to ensure your requests are handled promptly.