Ariz. Admin. Code § R17-8-403 - Electronic Funds Transfer Declaration

A. Prior to remitting an initial payment by electronic funds transfer, and within 30 days prior to any change in the method of payment transfer, a licensee shall file with the Department an electronic funds transfer declaration.

B. The electronic funds transfer declaration shall be made on a form approved by the Department and shall contain the following:

1. Licensee name;

2. Licensee Employer Identification Number (EIN);

3. Business address;

4. ADOT account number;

5. Payment type;

6. Either ACH credit or ACH debit payment method;

7. Name, title, email address, and phone number of contact person;

8. Signature of the authorized representative of the licensee; and

8. 9. Any other information required by the Director.

Notes

Ariz. Admin. Code § R17-8-403

New Section made by final rulemaking at 15 A.A.R. 225, effective March 7, 2009 (Supp. 09-1). Amended by final expedited rulemaking at 25 A.A.R. 3573, effective 12/3/2019.