Authorization for Direct Deposit via ACH
Direct Deposit via Automated Clearing House (ACH) is the deposit of funds to a consumer's account for payroll, employee expenses reimbursement, government benefits, tax and other refunds, and annuities and interest payments.

Urgent Care Association is referred to as UCA in this form.
Please list the name of the event or activity or project.
* The National Automated Clearing House Association (NACHA) Operating Rules do not require the consumers express authorization to initiate reversing entries to correct erroneous transactions. however, Originators should consider obtaining express authorization of debits or credits to correct errors.

** Written credit authorization must provide that the receiver may revoke authorization only by notifying the Originator in the time and manner stated in the authorization. The reference to notification should be filled with a statement of the time and manner that notification must be given in order to provide the company a reasonable opportunity to act on it.