Blank 3636A Michigan PDF Form

Blank 3636A Michigan PDF Form

The Michigan Department of Treasury 3636A form is an Electronic Funds Transfer (Direct Deposit) Authorization used for vendor payments. This form allows individuals and businesses to authorize the State of Michigan to deposit payments directly into their bank accounts, making transactions faster and more efficient. Whether you are setting up a new account, making changes, or canceling a previous authorization, completing this form is a straightforward process.

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The Michigan Department of Treasury's 3636A form serves as an essential tool for vendors seeking to manage their electronic funds transfer (EFT) authorizations for payments from the state. This form is issued under Public Act 94 of 1979 and filing is voluntary, allowing vendors to select from three primary types of authorization: new, change, or cancellation. For new authorizations, vendors must input all necessary banking information on the C&PE website prior to submitting the form. Those who need to update their banking details must first enter the changes online and then complete the form to reflect the new financial institution or account specifics. In cases where a vendor wishes to revoke their authorization, they can either deactivate it through the C&PE website or submit a completed form indicating cancellation. The form requires key information, including the payee's name, taxpayer identification numbers, and banking details, ensuring that payments are directed accurately. The instructions for submission are clear: completed forms should be mailed or faxed to the appropriate state office. Furthermore, it is crucial for vendors to understand that the authorization remains effective until officially canceled, emphasizing the need for accuracy in the information provided. This form not only facilitates the efficient processing of payments but also establishes a framework for accountability in electronic transactions.

Document Sample

Michigan Department of Treasury 3636A (Rev. 3-08)

STATE OF MICHIGAN

Electronic Funds Transfer (Direct Deposit)

Authorization for Vendor Payments

Issued under P.A. 94 of 1979. Filing is voluntary.

Type of authorization (select one only)

NEW: Enter all banking information on the C&PE Web site before completing and submitting this form.

CHANGE: Enter all bank related changes on the C&PE Web site first. Then complete this form by entering changes to the financial institution, account number, or type of account; and submit the completed form. Do not close your old bank account until electronic payments are received in your new account.

CANCELLATION (Revocation): You may cancel (revoke) your prior Authorization by either inactivating your EFT authorization on the C&PE Web site or by checking this box and completing and submitting this form.

Mail completed form to: State of Michigan, Department of Management & Budget, Office of Financial Management, P.O. Box 30026, Lansing, MI 48909-0710 or fax the form to (517) 373-6458. If you have any questions, contact the Office of Financial Management, at (517) 373-4111 or (888) 734-9749.

Please print or type.

The number below is:

 

 

 

 

 

 

Individual Taxpayer ID No. (ITIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYEE INFORMATION

 

 

 

 

Social Security No. (SSN)

 

 

 

Federal Employer ID No. (FEIN)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

Payee Name

2.

SSN, FEIN or ITIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

Mailing Address (Street or RR#)

4.

City, State, ZIP Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

Name and Title of Contact Person

6.

E-mail Address

 

 

 

7. Daytime Telephone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

Financial Institution Name

9.

Routing Transit Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

10. Financial Institution Telephone Number

11. Account Holder's Name(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12. Account Number for Deposit of Electronic Funds Transfer

13. Account Type (Select one only)

14. Account Indicator

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Checking

 

Savings

 

 

 

Consumer

 

Commercial

I authorize the State of Michigan to deposit payments owed to me by the State, by electronic funds transfer into the designated financial institution and account number. I also authorize the State of Michigan to make corrections from this account in the event that a deposit from the State of Michigan is made in error. Further, I agree not to hold the State of Michigan responsible for any delay or loss of funds due to incorrect information I have supplied on this authorization form. I understand this authorization remains in effect until cancellation: (a) in writing by the Payee or Payee's Authorized Signatory, (b) by the State of Michigan, or (c) by accessing your State of Michigan vendor record on the C&PE Web site and cancelling electronically.

I consent to and agree to comply with the National Automated Clearing House Association Rules and Regulations and the State of Michigan's rules about electronic funds transfers as they exist on the date of my signature on this form or as subsequently adopted, amended or repealed. Michigan law governs electronic funds transactions authorized by this agreement in all respects except as otherwise superseded by federal law.

If more than one signature is required to authorize withdrawal of funds, all must sign this form. Attach a page with additional signatures, if necessary.

15.

Print or Type Name of Payee or Payee's Authorized Signatory

16.

Title of Authorized Signatory

 

 

 

 

17.

Signature of Payee or Payee's Authorized Signatory

18.

Date

 

 

 

 

19.

Signature of Secondary Signatory(s)

20.

Date

 

 

 

 

File Specifics

Fact Name Details
Form Title Michigan Department of Treasury 3636A
Purpose This form authorizes electronic funds transfer (direct deposit) for vendor payments.
Governing Law Issued under Public Act 94 of 1979; governed by Michigan law.
Filing Requirement Filing is voluntary for vendors wishing to receive payments electronically.
Types of Authorization New, Change, or Cancellation of EFT authorization can be selected.
Contact Information Questions can be directed to the Office of Financial Management at (517) 373-4111 or (888) 734-9749.

How to Use 3636A Michigan

Filling out the 3636A Michigan form is a straightforward process that requires accurate information to ensure proper electronic funds transfer for vendor payments. Follow the steps below to complete the form correctly.

  1. Obtain the 3636A Michigan form from the Michigan Department of Treasury website or other official sources.
  2. Read the instructions carefully to determine the type of authorization you need: NEW, CHANGE, or CANCELLATION.
  3. If you are selecting NEW or CHANGE, enter all necessary banking information on the C&PE website before proceeding with this form.
  4. Begin filling out the Payee Information section:
    • 1. Enter your Payee Name.
    • 2. Provide your Social Security Number (SSN), Federal Employer ID Number (FEIN), or Individual Taxpayer ID Number (ITIN).
    • 3. Fill in your Mailing Address (Street or RR#).
    • 4. Include your City, State, and ZIP Code.
    • 5. Write the Name and Title of the Contact Person.
    • 6. Enter your E-mail Address.
    • 7. Provide your Daytime Telephone Number.
  5. In the Financial Institution section, complete the following:
    • 8. Enter the Financial Institution Name.
    • 9. Provide the Routing Transit Number.
    • 10. Include the Financial Institution Telephone Number.
    • 11. Write the Account Holder's Name(s).
    • 12. Enter the Account Number for Deposit of Electronic Funds Transfer.
    • 13. Select the Account Type (Checking or Savings).
    • 14. Indicate the Account Indicator (Consumer or Commercial).
  6. Read the authorization statement carefully, then proceed to sign and date the form:
    • 15. Print or type the Name of Payee or Payee's Authorized Signatory.
    • 16. Provide the Title of the Authorized Signatory.
    • 17. Sign the form.
    • 18. Date the signature.
    • 19. If required, have Secondary Signatory(s) sign and date as well.
  7. Review the completed form for accuracy and completeness.
  8. Mail the completed form to the address provided or fax it to the designated number.

Your Questions, Answered

What is the purpose of the 3636A Michigan form?

The 3636A Michigan form is used to authorize electronic funds transfers (EFT) for vendor payments from the State of Michigan. This form allows vendors to receive payments directly into their bank accounts, streamlining the payment process and reducing the need for paper checks.

Who should fill out the 3636A form?

This form should be completed by individuals or businesses that provide goods or services to the State of Michigan and wish to receive payments electronically. It is beneficial for those who prefer quicker access to funds and want to avoid delays associated with traditional check processing.

What information is required to complete the form?

To fill out the 3636A form, you will need to provide:

  • Your name and contact information
  • Your Social Security Number (SSN), Federal Employer Identification Number (FEIN), or Individual Taxpayer ID Number (ITIN)
  • Your mailing address
  • Your financial institution's name and routing number
  • Your account number and type of account (checking or savings)

Make sure all information is accurate to avoid payment issues.

Can I change my banking information after submitting the form?

Yes, if you need to change your banking information, you must first update your details on the C&PE website. After making those changes, complete the 3636A form again, indicating the changes you wish to make. It's important to keep your old account open until you confirm that payments are being deposited into the new account.

How do I cancel my electronic funds transfer authorization?

You can cancel your authorization in two ways. First, you can access your vendor record on the C&PE website and inactivate your EFT authorization. Alternatively, you can check the cancellation box on the 3636A form, complete it, and submit it to the State of Michigan. Make sure to follow the proper procedures to ensure your cancellation is processed correctly.

What happens if I provide incorrect information on the form?

If incorrect information is provided, it may lead to delays or errors in the deposit of funds. The State of Michigan will not be held responsible for any issues arising from inaccuracies in the information supplied. Therefore, it's crucial to double-check all entries before submitting the form.

Is there a fee associated with using the electronic funds transfer service?

No, there is no fee for using the electronic funds transfer service provided by the State of Michigan. This service is designed to facilitate quicker and more efficient payments to vendors without incurring additional costs.

How do I contact the Office of Financial Management if I have questions?

If you have questions regarding the 3636A form or the electronic funds transfer process, you can reach the Office of Financial Management at (517) 373-4111 or (888) 734-9749. They can provide assistance and clarify any concerns you may have.

Common mistakes

  1. Incorrect Banking Information: Failing to enter accurate banking details can lead to delays or failed transactions. Double-check the routing transit number and account number for errors.

  2. Not Selecting the Correct Authorization Type: It is crucial to choose either NEW, CHANGE, or CANCELLATION. Selecting the wrong option can invalidate the entire form.

  3. Omitting Required Information: Missing any required fields, such as the payee name or contact information, can result in processing delays. Ensure all necessary sections are filled out completely.

  4. Failure to Review the Form: Skipping a final review before submission can lead to overlooked mistakes. Take the time to verify all entries for accuracy.

  5. Not Following Submission Instructions: Ignoring the specific mailing or faxing instructions can cause the form to be lost or misdirected. Adhere to the guidelines for submitting the form properly.

Documents used along the form

The Michigan Department of Treasury 3636A form is essential for setting up electronic funds transfers for vendor payments. Along with this form, there are several other documents that may be required or helpful in the process. Below is a list of these forms, each with a brief description.

  • Form W-9: This form is used to provide your taxpayer identification number (TIN) to the state. It ensures that the state has the correct information for tax reporting purposes.
  • Direct Deposit Authorization Form: Similar to the 3636A form, this document specifically authorizes the bank to deposit funds directly into your account. It may be required by some organizations for payroll or other payments.
  • Vendor Registration Form: This form registers you as a vendor with the state. It collects necessary information about your business and ensures that you are eligible to receive payments.
  • Change of Address Form: If you need to update your mailing address, this form is necessary. Keeping your address current ensures that important documents and communications reach you without delay.
  • Cancellation of Authorization Form: This document is used to formally revoke any prior electronic funds transfer authorizations. It is important to complete this if you wish to stop future electronic payments.
  • Bank Information Verification Form: This form may be requested by the state to confirm your bank account details. It helps prevent errors in the transfer process and ensures funds are directed correctly.

Each of these documents plays a role in ensuring that your electronic funds transfer process runs smoothly. It’s important to complete them accurately and submit them as required to avoid any delays in receiving payments.

Similar forms

The IRS Form W-9 is a common document that serves a similar purpose to the Michigan 3636A form. Both forms collect essential taxpayer information, such as the name and taxpayer identification number. The W-9 is used primarily for tax reporting purposes, allowing businesses to request the correct taxpayer information from individuals or entities they pay. In contrast, the 3636A focuses on authorizing direct deposits for vendor payments, streamlining the payment process for the State of Michigan.

The ACH Authorization Agreement is another document that parallels the Michigan 3636A form. This agreement is used by businesses and individuals to authorize electronic payments and deposits through the Automated Clearing House network. Like the 3636A, it requires specific banking details, such as account numbers and routing numbers. Both forms aim to facilitate efficient financial transactions while ensuring the accuracy of the provided information.

The Direct Deposit Authorization form used by employers is similar to the Michigan 3636A form. Employees fill out this form to receive their salaries directly into their bank accounts. Both documents require detailed banking information and serve the purpose of ensuring timely payments. The main difference lies in the context; the 3636A is for vendor payments from the state, while the direct deposit form is for payroll purposes.

The Vendor Registration Form is another document akin to the 3636A. This form is often required by government agencies or businesses to register vendors for payment processing. It collects similar information, such as contact details and taxpayer identification numbers. While the Vendor Registration Form establishes a vendor’s eligibility to receive payments, the 3636A specifically authorizes the method of payment—electronic funds transfer.

The IRS Form 8821, Tax Information Authorization, shares some similarities with the Michigan 3636A form. Both documents involve the authorization of information and require signatures. The Form 8821 allows a designated individual to access a taxpayer’s information, which can be crucial for financial management. In contrast, the 3636A focuses on authorizing payment methods rather than information access.

The State of Michigan’s Direct Deposit Enrollment Form is another document that mirrors the 3636A. This form is specifically designed for state employees to enroll in direct deposit for their salaries. It requires similar banking information and serves the same goal of ensuring timely electronic payments. The key distinction is that the 3636A is for vendors, while the enrollment form is for employees.

The Electronic Funds Transfer (EFT) Authorization form used by banks is also comparable to the Michigan 3636A. This form allows customers to authorize their banks to process electronic payments or transfers. Both forms require detailed banking information and aim to facilitate smooth financial transactions. The main difference is that the EFT Authorization form is typically used for personal banking, whereas the 3636A is specific to vendor payments from the state.

The State of Michigan’s Taxpayer Identification Number (TIN) Application is similar in that it collects essential taxpayer information. While the TIN application is used to obtain a unique identification number for tax purposes, the 3636A uses that information to facilitate vendor payments. Both documents are crucial for compliance with tax regulations and ensuring accurate payment processing.

The Direct Payment Authorization form, often used in business transactions, is another document that resembles the 3636A. This form allows a company to authorize a third party to withdraw funds directly from their account for payments. Both forms require the same type of banking information and serve to streamline payment processes. However, the direct payment authorization is typically used in private business contexts, whereas the 3636A is specific to state vendor payments.

Finally, the State of Michigan’s Grant Payment Authorization form is similar to the 3636A. This form is used by grant recipients to authorize the state to deposit grant funds directly into their bank accounts. Both documents require similar banking details and aim to ensure timely payments. The difference lies in their specific purposes; the 3636A is for general vendor payments, while the grant payment form is specifically for funds awarded through grants.

Dos and Don'ts

When filling out the Michigan Department of Treasury 3636A form for Electronic Funds Transfer (Direct Deposit) Authorization, it's important to follow certain guidelines to ensure a smooth process. Here are nine things you should and shouldn't do:

  • Do read the instructions carefully before starting the form.
  • Don't leave any required fields blank; incomplete forms may delay processing.
  • Do provide accurate banking information to avoid payment issues.
  • Don't close your old bank account until you confirm that payments have been successfully transferred to your new account.
  • Do use clear and legible handwriting or type your information to prevent misunderstandings.
  • Don't forget to sign the form; an unsigned form will not be processed.
  • Do keep a copy of the completed form for your records.
  • Don't submit the form via email; use the mailing address or fax number provided.
  • Do contact the Office of Financial Management if you have questions or need assistance.

Following these tips will help ensure that your Electronic Funds Transfer authorization is processed smoothly and efficiently. Remember, providing accurate and complete information is key to receiving your payments without delay.

Misconceptions

The Michigan Department of Treasury 3636A form is essential for vendors wishing to receive payments via electronic funds transfer. However, several misconceptions about this form can lead to confusion. Below is a list of common misunderstandings along with clarifications.

  • Filing is mandatory. Many believe that completing the 3636A form is a requirement for all vendors. In reality, filing is voluntary.
  • Changes to banking information can be submitted without prior updates. It is a misconception that one can directly submit changes to the form. Vendors must first update their banking information on the C&PE website before completing the form.
  • Closing the old bank account is acceptable before receiving new payments. Some vendors think they can close their old bank account immediately after submitting the form. However, it is crucial to keep the old account open until electronic payments are confirmed in the new account.
  • Cancellation of authorization is complicated. Many assume that revoking authorization is a complex process. In fact, it can be easily done either through the C&PE website or by submitting the form with a cancellation request.
  • Only one method exists for submitting the form. Some vendors believe they must mail the form. Alternatively, faxing the completed form is also an acceptable option.
  • All fields on the form are optional. It is a common misunderstanding that vendors can skip any field they choose. Certain information, such as the account number and financial institution details, is mandatory for processing.
  • Electronic funds transfers are instantaneous. Vendors often expect immediate deposits after submission. However, processing times can vary, and delays may occur based on several factors.
  • The form is only for individual vendors. Some think that only individual vendors can use the 3636A form. In truth, both individual and commercial entities can authorize electronic payments using this form.

Understanding these misconceptions can help vendors navigate the process more effectively and ensure they receive their payments without unnecessary complications.

Key takeaways

When filling out the 3636A Michigan form for Electronic Funds Transfer (EFT) authorization, keep these key points in mind:

  • Voluntary Filing: Submitting the form is optional, but it allows for convenient electronic payments.
  • Bank Information: Ensure all banking details are entered accurately on the C&PE website before completing the form.
  • Cancellations: You can revoke your authorization either online or by submitting the completed form with the cancellation box checked.
  • Contact Information: Provide complete and accurate contact details, including your financial institution’s name and account information, to avoid delays in payment processing.