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Payment Authorization Form for Indonesia

Payment Authorization Form Template for Indonesia

A Payment Authorization Form governed by Indonesian law is a legally binding document that authorizes a bank or financial institution to process specific payment transactions on behalf of the account holder. This document complies with Bank Indonesia regulations and includes essential details such as account holder information, payment specifications, and authorization terms. It serves as a formal instruction and permission for fund transfers, whether one-time or recurring, and incorporates necessary compliance elements required under Indonesian banking and electronic transaction laws.

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What is a Payment Authorization Form?

The Payment Authorization Form is a critical financial document used in Indonesia when an account holder needs to authorize a bank or financial institution to execute payment transactions. This document is essential for various payment scenarios, including recurring bill payments, fund transfers, and automated payment setups. It must comply with several Indonesian regulations, including Law No. 3 of 2011 on Fund Transfers and relevant Bank Indonesia regulations governing payment systems. The form typically contains detailed account holder information, specific payment instructions, authorization declarations, and necessary compliance elements. It serves as both a security measure and a legal record of payment authorization, protecting all parties involved in the transaction while ensuring smooth payment processing within Indonesia's financial system.

What sections should be included in a Payment Authorization Form?

1. Account Holder Information: Details of the person/entity authorizing the payment, including full legal name, address, and contact information

2. Bank Account Details: Complete banking information including bank name, branch, account number, and account type

3. Payment Recipient Information: Details of the beneficiary receiving the payment, including their bank account information

4. Payment Details: Specific information about the payment amount, currency, and purpose

5. Authorization Declaration: Explicit authorization statement complying with Indonesian banking regulations

6. Verification and Authentication: Identity verification requirements and authentication methods as per Bank Indonesia regulations

7. Cancellation Terms: Information about how to cancel or modify the payment authorization

What sections are optional to include in a Payment Authorization Form?

1. Recurring Payment Terms: Used when the authorization is for recurring payments, specifying frequency and duration

2. International Transfer Details: Required for international payments, including additional compliance information

3. Third-Party Authorization: Used when the payment is being authorized by someone other than the account holder

4. Digital Payment Platform Details: Required when using specific electronic payment systems or digital wallets

5. Corporate Authorization: Additional authorization details required for corporate accounts

What schedules should be included in a Payment Authorization Form?

1. Payment Schedule: Detailed schedule of payment dates and amounts for recurring payments

2. Terms and Conditions: Detailed terms and conditions of the payment service provider

3. Required Documentation Checklist: List of supporting documents required for payment processing

4. Fee Schedule: Breakdown of all applicable fees and charges

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Indonesia

Publisher

Ƶ

Document Type

Authorization Form

Cost

Free to use
Relevant legal definitions






















Clauses




















Relevant Industries

Banking and Financial Services

Retail

E-commerce

Insurance

Telecommunications

Utilities

Education

Healthcare

Real Estate

Professional Services

Manufacturing

Technology

Hospitality

Transportation and Logistics

Relevant Teams

Finance

Accounts Payable

Treasury

Banking Operations

Compliance

Legal

Account Management

Payment Operations

Financial Control

Risk Management

Relevant Roles

Finance Manager

Accounts Payable Manager

Treasury Manager

Financial Controller

Banking Relations Manager

Compliance Officer

Finance Director

Account Manager

Payment Operations Manager

Chief Financial Officer

Banking Operations Manager

Finance Administrator

Corporate Treasury Analyst

Financial Services Coordinator

Accounts Receivable Manager

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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