Pre Authorized Debit Form Generator

Create a Pre Authorized Debit form for your non-profit organization

A Pre Authorized Debit (PAD) form is an agreement that outlines donation terms between you and your donors for pre authorized bank payments. We offer a free tool to download your own blank PAD form.

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DONOR INFORMATION







DONATION INFORMATION





PRE AUTHORIZED DEBIT TERMS

AUTHORIZATION

Please attatch a void cheque or fill out account details






Complete the required fields to get your blank Pre Authorized Debit form.

How to use the free PAD authorization generator

Pre Authorized Debit form template fill out

Step 1

Edit the required information in the generator

download Pre Authorized Debit form template

Step 2

Download the blank Pre Authorized Debit form

Print Pre Authorized Debit form template

Step 3

Print the authorization form for your donors to fill out

Pre Authorized Debit FAQs

A Pre Authorized Debit form is a legal form that outlines the payment terms between a payor and a payee. It is a requirement for collecting payments over Canada's EFT network.

To collect payments directly from a donor’s bank account over the EFT network, you need permission from your donors. A properly formatted Pre Authorized Debit form is the way to gain this permission.

Authorization can be collected online as well as on paper (and even over the phone). There are specific requirements for online Pre Authorized Debit forms. Most businesses that facilitate Pre Authorized Debit payments online use a third-party payment provider like Rotessa.

Upon downloading your Pre Authorized Debit form, give the form to your donor to fill out. Once your donor has filled out all of the necessary fields this form can be used to automate payments over the EFT network. You can access the EFT network from your bank or a third party Pre Authorized Debit provider like Rotessa.

Yes. If a donor gives you notification that they want to cancel an authorization their request must be honored. This is according to Payments Canada regulations.

A Pre Authorized Debit form requires the following elements:
1) Your contact information
2) Payor’s name
3) Payor’s bank branch transit number
4) Payor’s bank account number
5) Payor’s institution ID number
6) Amount and timing (for recurring and one-time payments)
7) Authorization statement
8) Cancelation details
9) Recourse statement
8) Date of agreement and signature (if a physical paper form)
This Pre Authorized Debit form template has all of these requirements.

No, this authorization form can only be used for debiting payments through the EFT network.