Get Alabama Ecc Vendor Settlement Authorization Form

Filling out the Alabama ECC Vendor Settlement Authorization Form online is a straightforward process that helps ensure your reimbursements are deposited accurately. This guide provides clear instructions on how to complete each section of the form in an efficient and user-friendly manner.

Follow the steps to complete the form effectively.

1. Click 'Get Form' button to access the form and open it in your chosen online editor.
2. Indicate whether you are a business or individual. Choose 'BUSINESS' if you have a Federal Employer Identification Number (FEIN) or 'INDIVIDUAL' if you are using a Social Security Number (SSN) without a Doing Business As (DBA) designation.
3. Fill in the vendor information and payment method accurately. Include your full legal business name or DBA, name of the authorized individual, title, address, telephone number, account type (checking or savings), ABA bank routing number, and account number. Make sure all information is correct to avoid processing delays.
4. Attach the appropriate documentation based on your account type. For checking accounts, include a voided check; deposit slips are not acceptable. For savings accounts, a deposit slip is acceptable. You may also include a letter from your bank with the necessary routing and account number information. Note that failing to follow these instructions may result in incorrect deposits.
5. After completing the form and confirming all information is accurate, submit it by mailing it to the address provided: Conduent State and Local Solutions, P.O Box 80589, Austin, TX 78708, or fax it to 888-474-7160. If you have any questions, you can reach out to ECCOperations@conduent.com.

Complete your forms online today for efficient submission and processing.