Payment Consent Form

Payment Consent Form Template for Denmark

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Document background

The Payment Consent Form is a crucial document required under Danish law and EU regulations for establishing authorized payment relationships between payment service providers and payers. This document is necessary whenever a new payment arrangement is established, whether for one-time or recurring payments, and must comply with the Danish Payments Act, PSD2, and GDPR requirements. The form captures essential information including payment details, data processing consent, and withdrawal rights, while ensuring transparent communication of terms to the payer. It's particularly important in the context of modern payment services, including open banking initiatives under PSD2, and serves as a legal record of payment authorization while meeting strict Danish and EU regulatory requirements for financial services and data protection.

Suggested Sections

1. Payment Service Provider Details: Information about the payment service provider, including legal name, registration number, and contact details

2. Payer Information: Details of the individual or entity providing payment consent, including necessary identification information

3. Payment Authorization: Specific consent for the payment arrangement, including amount, currency, and payment method

4. Data Processing Consent: GDPR-compliant consent for processing personal and payment data, including purpose and duration

5. Withdrawal Rights: Information about the right to withdraw consent and the process for doing so

6. Declaration and Signature: Final declaration of understanding and agreement, with space for date and signature

Optional Sections

1. Recurring Payment Terms: Additional terms for recurring payment arrangements, including frequency and duration. Include when consent is for recurring rather than one-time payments

2. Third Party Authorization: Authorization for third-party payment initiation services. Include when using PSD2 payment initiation services

3. International Payment Terms: Additional terms for international payments, including currency conversion. Include for cross-border payment arrangements

4. Specific Payment Method Terms: Terms specific to particular payment methods (e.g., direct debit, credit card). Include based on the payment method being used

5. Corporate Authorization: Additional authorization requirements for corporate entities. Include when the payer is a company rather than an individual

Suggested Schedules

1. Schedule 1: Detailed Payment Terms: Detailed breakdown of payment amounts, dates, and arrangements

2. Schedule 2: Data Processing Details: Detailed information about personal data processing, including categories of data, recipients, and retention periods

3. Schedule 3: Payment Service Provider Terms: Standard terms and conditions of the payment service provider

4. Appendix A: Required Documentation: List of required identification or verification documents to be attached to the consent form

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