Pre Authorized Debit Form

Pre Authorized Debit Form Template for Denmark

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Document background

The Pre-Authorized Debit Form is essential for businesses and organizations in Denmark that collect recurring payments from customers or members. This document is used when establishing automated payment arrangements, ensuring compliance with Danish financial regulations and EU payment service directives. It provides the legal basis for direct debit transactions, protecting both the payment collector and the account holder. The form must include specific elements required by Danish law, such as clear authorization statements, data protection notices, and cancellation rights. It's particularly relevant in contexts where regular payments need to be processed efficiently while maintaining regulatory compliance and proper documentation.

Suggested Sections

1. Account Holder Information: Essential details of the account holder including full name, address, and contact information as required by Danish payment regulations

2. Bank Account Details: Danish bank account information including bank name, registration number (reg.nr.), and account number (kontonummer)

3. Payment Details: Specification of payment amounts (fixed or variable), frequency, and start date of the direct debit arrangement

4. Payee Information: Details of the company/organization collecting the payments, including CVR number and necessary contact information

5. Authorization Declaration: Formal authorization statement allowing the payee to debit the specified account, including reference to relevant Danish payment legislation

6. Data Protection Notice: GDPR-compliant statement about how personal and financial information will be processed and stored

7. Cancellation Rights: Information about the account holder's rights to cancel the direct debit arrangement and the process for doing so

Optional Sections

1. Variable Amount Authorization: Additional authorization section required only when payment amounts may vary, including maximum amount limits if applicable

2. Multiple Account Authorization: Optional section when the payer wants to authorize debits from multiple accounts

3. Special Instructions: Section for any specific payment instructions or conditions, used when standard terms need modification

4. Digital Signature Section: Required only when the form is to be signed digitally using NemID/MitID, including specific digital signature requirements

Suggested Schedules

1. Payment Schedule: Detailed schedule of payment dates and amounts (if fixed), or calculation method for variable amounts

2. Terms and Conditions: Standard terms and conditions for the direct debit arrangement, including rights and obligations of both parties

3. Privacy Policy: Detailed privacy policy relating to the handling of personal and financial information in compliance with GDPR

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