Get 459-475 Automatic Clearing House Agreement Form.indd

Completing the 459-475 Automatic Clearing House Agreement Form online can streamline your employer's electronic payment process. This guide provides step-by-step instructions to help you accurately fill out and submit the form.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. In Section A, provide your employer information. Enter the employer name, employer number, mailing address (street or PO box), city, state, phone number, zip code, and email address. Ensure that all information is clear and legible, as illegible forms may be returned, causing delays.
3. In Section B, designate your ACH debit election if applicable. If selecting this option, you need to visit the PERS employer website to complete the Authorization Agreement for Employer ACH Debits form. Remember to mail signed originals of both the Employer Automated Clearing House Agreement form and the Employer ACH Debit form to PERS Member Employer Relations, keeping copies for your records.
4. In Section C, choose the ACH credit election if this is your preferred option. Fill out this Automated Clearing House Agreement form, then mail the signed original to PERS Member Employer Relations. Coordinate with your financial institution before initiating ACH credit transactions and keep copies for future reference.
5. At the bottom of the form, ensure the authorized reporting financial officer provides their signature, title, and printed name. This step is crucial for the completion of the form.
6. After ensuring all sections are filled out correctly, review the form for accuracy. You can then save your changes, download the completed form, print it, or share it as needed.

Start filling out your documents online today for a smoother and more efficient process.