Entities receiving PENNVEST funds must submit an ACH Authorization and/or Change Form to authorize the implementation or any changes to its Financial Institution or Account Number for continued payment processing and/or repayments.
If you are authorizing the ACH implementation, you must open a
separate non-interest bearing account for the PENNVEST funds.
IMPORTANT - YOU WILL NEED TO SUBMIT A COPY OF A VOIDED CHECK ALONG WITH YOUR ACH IMPLEMENTATION/CHANGE REQUEST FORM.
- Print the ACH Authorization and/or Change Request form.
- Complete the information for ALL boxes on the form. All blocks are to be completed in order to properly process your request.
- Sign and date the form. The authorized signature must be the authorized signature for the referenced bank account, not the referenced loan. If the project has a Trustee Account and the Trustee is responsible for the bank account, the Trustee must co-sign the form.
- Email the scanned form along with a copy of a voided check from your designated account to