Sample Documents
When you are a UMACHA member, you can take advantage of a number of resources, including valuable ACH and other electronic payments forms.
Agreements
Consumer to Consumer Agreement (Word Document) (07/2012)This contract can be used when you have a consumer who wishes to send an ACH entry to another consumer. | Third Party Sender Agreement (Word Document) Updated April 2013This is a sample of an agreement between a FI and a Third Party Sender, a company facilitating other companies for originating ACH. |
Company/Financial Institution ACH Origination Agreement (Word Document) (04/2011)This is a sample agreement between the FI and the originating company. It is to be used as a starting point and tailored to each FI as needed. | Additional Originator Obligations for Specific Standard Entry Class (SEC) Codes (Word Document) (02/2012)Schedule D to Sample Company/Financial Institution ACH Origination Agreement. Updated to include IAT. |
Single Entry Authorization Form (PDF) (07/2010)This is a sample of a single entry authorization. | ACH Sending Point Agreement (Word Document) (09/2001)This is a sample agreement between the FI and an organization that sends ACH entries on their behalf or behalf of their corporate customer. |
Trading Partner Agreement (PDF) (11/2004)This is a sample of an agreement between two companies that agree to exchange ACH payments. |
Forms
NEW - ACH Risk Assessment Template (RDFI & Internal Origination) (Excel) (03/2012)This is meant to be a sample of an ACH Risk Assessment that a financial institution who receives ACH entries and only originates ACH entries for themselves (i.e. loan payments, interest from certificates of deposit, etc) can use. Not all financial institutions are the same, therefore, review the information and include anything that is missing that is relevant to your financial institution. | EFT Bank Error Investigation Report (Excel) (02/2011)This is a sample of an EFT error investigation report that the FI can use for Regulation E compliance. |
Report of Possible ACH Rules Violation (Word Document) (04/2013)This report is completed by a party to an ACH entry when they identify a possible violation to the ACH Rules. UMACHA members should submit this form and documentation to the UMACHA office. | Sample Letter of Indemnity (Word Document) (04/2011) |
Stop Payment Procedures (Word Document) (11/2012) | Stop Payment Request Order Form (Word Document) (09/2011)Sample Stop Payment Order Request Form. This is a sample of a Stop Payment Request Order Form that you can use for both consumer and corporate ACH payments and paper checks. |
Written Statement of Unauthorized Debit (WSUD) (Word Document) (03/2013)This is a sample version of the WSUD for your institution to add your company name and edit as needed. | Written Statement of Unauthorized Debit (WSUD) with Return Reason Codes (Word Document) (03/2013)This version of the WSUD includes return codes for use in your operations department. |
Written Statement of Unauthorized Debit (WSUD) with Notary (Word Document) (03/2013)This version of the WSUD has a notary section at the bottom. | Instructions for the Written Statement of Unauthorized Debit (Word Document) (02/2013)These are instructions that you can use when filling out the Written Statement of Unauthorized Debit. |
Consumer & Corporate ACH Credit Entry Return Form (Word Document) (03/2010) | Corporate ACH Debit Entry Return Form (Word Document) (03/2010) |
Procedures for handling an ODFI Request for Return (Word Document) (11/2012) | Sample Authorization Revocation Form (Word Document) (03/2010) |
Policy
UCC4A Primer and Sample Disclosures (PDF) Updated January 2011This is an explanation of UCC4A and a sample of a disclosure that a FI can use. | ACH Stop Payment Procedures (Word Document) (09/2011)This is a sample of ACH Stop Payment Procedures that you can use to create your own stop payment procedures. |
Sample OFAC Policy (Word Document)This is a sample of an OFAC Policy. Please use this as a starting point for your financial institution. | ACH Policy Sample (Word Document) (02/2013)This is a sample of an ACH Policy. Please use this as a starting point for your financial institution. |
NACHA Board of Director Policy Statement - Corporate Account Takeovers (12/2010)At the October meeting of the NACHA Board of Directors, the Board approved two policy statements: Policy Statement on the Importance of Sound Business Practices to Mitigate Corporate Account Takeover (CAT) and Policy Statement on Use of a Terminated Originator Database (TOD). These policy statements are designed to provide a clear message for financial institutions and other ACH participants in utilizing: 1. Sound business practices to prevent and mitigate risks associated with Corporate Account Takeover within the ACH Network 2. A Terminated Originator Database as a component of due diligence and risk management process. The Policy Statement on the Importance of Sound Business Practices to Mitigate Corporate Account Takeover is effective October 21, 2010. The Policy Statement on Use of a Terminated Originator Database is effective March 1, 2011. Both policy statements will be included in the 2011 Rulebook. Additional information on both topics will be provided by NACHA in the coming months | Unlawful Internet Gambling Enforcement Act ACH Sample Policy (Word Document) (11/2009)We have created a sample policy for ACH in regards to Regulation GG; The Unlawful Internet Gambling Enforcement Act. This should be used as a starting point and tailored to your financial institution. There is also one page with sample notices. |

