Dear Student,
The CSU Office of the Chancellor is transitioning to electronic payments to enhance efficiency and sustainability. To ensure prompt processing of your payments, please complete and submit the attached ACH Authorization Form. Benefits of ACH payments include:
We aim to make electronic payments our standard method. Your cooperation will help us process your payments more efficiently. If your banking information changes, please submit an updated ACH Authorization Form. Thank you for your support in this transition.
Best Regards,
Accounts Payable Team
Address information should match to what is on file with your bank. The CSU uses an early warning fraud detection system that validates address information with banking information.
Payee Name*
Payee No. (For AP Office Use)
Address*
City*
State*
Zip*
Phone*
Email Address for Remittance Advice *
The above-named payee hereby authorizes the CSU, Office of the Chancellor to originate Automated Clearing House (ACH) payments to the payee’s account for payment of goods, services, student loans, or reimbursement of fees.
Name on Bank Account*
Name of Bank*
Bank Routing Number*
Re-enter Bank Routing Number*
Bank Account Number*
Re-enter Bank Account Number*
Routing numbers from a deposit slip are not valid. Please confirm correct routing number for your account with your bank. Changes to banking information require at least 15 days to become effective.
By submitting this form, you agree that all information is complete and accurate. Changes to banking information is the responsibility of payee and requires notification to the CSU Office of the Chancellor Accounts Payable department immediately.
Authorized Name*
*Required field
