Fillable County Of Los Angeles – Community Business Enterprise (Constant Contact)

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County Of Los Angeles – Community Business Enterprise (Constant Contact)

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PAYEE REGISTRATION PACKAGE
These forms must be updated every 3 years or if there has been a change
in ownership, name change or address, you will be required to complete
the Payee Registration Package and Organization Information Form.
The Payee Registration Package contains the following documents:
Direct Deposit
Fo
r
m
Form
W-9
This is not a Vendor Registration Package. Vendors who wish to be included
in the Los Angeles County Development Authority vendor database and be
notified of contracting opportunities must register on-line at www.lacda.org
under “For Vendors.”
Rev. 05.16.19
Please mail or email to:
Los Angeles County Development Authority
700 West Main Street
Alhambra, CA 91801
rentrelief@lacda.org
CASE ID:#________________________
DIRECT DEPOSIT PAYMENTS
Los Angeles County Development Authority
The Los Angeles County Development Authority has implemented Electronic Funds Transfers (EFT Direct
Deposit) for our vendors.
We hope you will like the advantages this payment method offers:
Secure payments – EFT payments are deposited directly into your bank account and cannot be lost or
stolen like mailed checks.
Faster delivery – EFT payments are deposited into your account within two days of the issuance of a
payment.
Immediate availability – EFT payments are normally available as soon as they are deposited to your
account.
Accounts Payable will email a payment summary to the email address designated on the form. You may
also reach Accounts Payable by email at accountspayable@lacda.org or by calling (626) 586-1887 or
(626) 586-1888.
Registering for this payment method is quick and easy. Please complete and return the “Authorization
Agreement for Direct Deposit” form on the reverse side of this notice along with one of the following
items:
Checking Accounts – For deposits to a checking account please write “VOID” across a blank check from
that account and include the voided check with your form.
Savings Account – For deposits to a savings account, please include a blank, pre-printed deposit slip for
the savings account along with your form.
Send your completed form and the voided check or deposit slip to the address below or e-mail to:
rentrelief@lacda.org
.
Los Angeles County Development Authority
Administrative Services Division/Procurement
700 West Main Street
Alhambra, CA 91801
rentrelief@lacda.org
CASE ID:#________________________
LOS ANGELES COUNTY DEVELOPMENT AUTHORITY
AUTHORIZATION AGREEMENT FOR DIRECT DEPOSITS
Vendor Name
I (we) hereby authorize Los Angeles County Development Authority, hereinafter called “LACDA” to initiate
credit entries and if necessary, credit reversals for any credit entries in error to my (our) account indicated
below, at the depository Financial Institution named below and credit such same account. I (we)
acknowledge that the authority will remain in effect until I have (or either of us) cancelled it in writing and
that the origination of ACH transactions to my (our) account must comply with the provisions of the United
States law.
Financial Institution Name
Checking Account or
Savings Account
Routing Number
Bank Account Number
This authorization is to remain in full force and effect until the LACDA and your depositary Financial Institution
have had all reasonable opportunity to act upon a written request for cancellation
Name
Title
Signature
Date
Email Address
Phone
Name
Title
Signature
Date
Email Address
Phone
Please return this completed form with your voided check for a checking account, or deposit slip for a savings
account to:
Los Angeles County Development Authority
Administrative Services Division/Procurement
700 West Main Street
Alhambra, CA 91801
rentrelief@lacda.org
CASE ID:#________________________
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County Of Los Angeles Community Business Enterprise (Constant Contact)

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Completed 22 January 2021

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