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Pre Authorized Debit Form
"I need a Pre-Authorized Debit Form for my Swiss insurance company that will allow us to collect monthly premium payments from corporate clients, with the first debit scheduled for March 2025, including both German and French language versions."
1. Account Holder Information: Personal/company details of the account holder including full name/company name, address, and contact information
2. Bank Account Details: Complete banking information including IBAN, bank name and address
3. Payee Information: Details of the company/entity authorized to collect payments, including their creditor ID
4. Authorization Declaration: Explicit authorization statement allowing the payee to debit the specified account
5. Debit Parameters: Specification of payment amounts (fixed or variable), frequency, and duration of the authorization
6. Right of Revocation: Clear statement of the account holder's right to cancel the authorization
7. Data Protection Notice: Declaration regarding the processing of personal data in accordance with Swiss data protection law
8. Signature Block: Space for date, place, and legally binding signature(s) of the account holder
1. Multiple Account Authorization: Additional section when authorization is needed for multiple accounts
2. Corporate Authority Verification: Required for corporate accounts to verify signing authority
3. Payment Schedule Details: Optional detailed schedule of payment dates and amounts when using fixed payment arrangements
4. Direct Debit Type: Specification of LSV+ or Business Direct Debit type when multiple options are available
5. Language Declaration: Required when form is provided in multiple languages, indicating which language version is binding
1. Terms and Conditions: Detailed terms and conditions of the direct debit service
2. Fee Schedule: If applicable, schedule of fees related to the direct debit service
3. Payment Schedule: Detailed schedule of payment dates and amounts for fixed payment arrangements
4. Bank Processing Information: Technical information required by the bank for processing (usually attached by the bank)
Authors
Banking & Financial Services
Insurance
Utilities
Telecommunications
Property Management
Subscription Services
Education
Healthcare
Professional Services
Non-Profit Organizations
Retail
Energy
Legal
Finance
Compliance
Customer Service
Operations
Treasury
Risk Management
Administration
Account Management
Banking Operations
Payment Processing
Documentation
Banking Operations Manager
Financial Controller
Accounts Receivable Manager
Compliance Officer
Legal Counsel
Customer Service Representative
Account Manager
Treasury Manager
Billing Coordinator
Finance Director
Payment Operations Specialist
Risk Manager
Administrative Officer
Company Secretary
Business Development Manager
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