ACH Customer Questionnaire

Email

Email is a required field

Company Name

Company Name is a required field

Location

Location is a required field

Company is responsible to ensure adequate funds are in place to cover all ACH transaction on the effective date of such transactions.

Yes No

Company is responsible to ensure adequate funds are in place to cover all ACH transaction on the effective date of such transactions. is a required field

Users understand how to choose the proper ACH SEC code when creating an ACH in online banking. CCD-Corporate Credit or Debit: Used to make regular payments or distribute or consolidate funds between corporate entities. PPD-Consumer Direct Deposit or Consumer Direct Payment: Payroll, expense reimbursements, etc. or Preauthorized bill payment.

Yes No

Users understand how to choose the proper ACH SEC code when creating an ACH in online banking. CCD-Corporate Credit or Debit: Used to make regular payments or distribute or consolidate funds between corporate entities. PPD-Consumer Direct Deposit or Consumer Direct Payment: Payroll, expense reimbursements, etc. or Preauthorized bill payment. is a required field

All customers, vendors, or employees that are recipients of an ACH transaction have given authorization. In the Case of Consumer Debits (collections) a written Authorization is collected from the individual. (All authorizations must be retailed for a minimum of 2 years after the last transaction.)

Yes No

All customers, vendors, or employees that are recipients of an ACH transaction have given authorization. In the Case of Consumer Debits (collections) a written Authorization is collected from the individual. (All authorizations must be retailed for a minimum of 2 years after the last transaction.) is a required field

Company has contingency plan in place in the even that ACH services is interrupted.

Yes No

Company has contingency plan in place in the even that ACH services is interrupted. is a required field

Dual Control is currently being utilized by the company for ACH entry and approval within online banking. (Bank Recommended)

Yes No

Dual Control is currently being utilized by the company for ACH entry and approval within online banking. (Bank Recommended) is a required field

User credential are shared or utilized by more than one user.

Yes No

User credential are shared or utilized by more than one user. is a required field

Account activity and ACH transactions are reviewed routinely.

Yes No

Account activity and ACH transactions are reviewed routinely. is a required field

Company has and IT Department/Consultant that manages their computer security.

Yes No

Company has and IT Department/Consultant that manages their computer security. is a required field

Company accesses online banking thru a secure network.

Yes No

Company accesses online banking thru a secure network. is a required field

Company employees are using ACH Services through online banking thru the LSB application on their phone.

Yes No

Company employees are using ACH Services through online banking thru the LSB application on their phone. is a required field

Users know where and how to review information about ACH transactions that are returned or receive a Notification of Change (NOC) and know what to do to resolve the cause/issue.

Yes No

Users know where and how to review information about ACH transactions that are returned or receive a Notification of Change (NOC) and know what to do to resolve the cause/issue. is a required field

Do you process payroll through online banking?

Yes No

Do you process payroll through online banking? is a required field

If yes, please complete Payroll Calendar Specifications below. Payroll is Processed:

Weekly Every Other Week Bi-monthly Monthly Commission

Questions & Concerns - I would like to be contacted by an LSB Treasury Management Team Member about the following questions and or concerns (list below and list the best way to contact user).

Certification

I certify, as a duly authorized officer of the company, that the information provided here is accurate and factual.

Enter your name for a digital signature as an Authorized User

Enter your name for a digital signature as an Authorized User is a required field

reCAPTCHA

reCAPTCHA is a required field

ACH Origination Customer Questionnaire

Manage receivables quicker and more efficiently

Lincoln Savings Bank is a full-service Central and Northeast Iowa bank dedicated to local customers and communities since 1902.