Required fields are marked with asterisks (*)

ACCOUNTS PAYABLE

DIRECT DEPOSIT SET-UP FORM

STEP 1: VENDOR INFORMATION

Type of Request

Update of Information

1st Time Set-Up

Company Name:

Street Address:

City:

Province

Postal Code

Phone Number:

STEP 2: ACCOUNT INFORMATION

For your payment to be deposited to your account please upload a copy to inlude with this form and ensure the word VOID is written across the face of the cheque.

Upload Bank Form or VOID Cheque

Browse…

Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

- OR -

For your payment to be deposited to your account please provide the following information:

Bank Name:

Bank Address:

Transit Number:

Bank Number:

Account Number:

STEP 3: REMITTANCE INFORMATION

Contact Name:

Position/Title

Phone Number:

Remittance Email Address:

STEP 4: SIGNATURE AND DATE

I authorize The Corporation of the Village of Oil Springs to deposit Accounts Payable payments to the bank account indicated above and issue a remittance advice as indicated on this form.

Signature

Clear

Date