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Documents used along the form

The Michigan Department of Treasury 3636A form is essential for setting up electronic funds transfers for vendor payments. However, several other forms and documents are often used in conjunction with this form to ensure smooth processing and compliance. Below is a list of related documents that may be necessary.

  • W-9 Form: This form is used to provide the correct taxpayer identification number (TIN) to the state. It is crucial for tax reporting purposes and ensures that payments made to vendors are accurately reported to the IRS.
  • Affidavit of Gift Form: When transferring ownership of a gift, it's important to have the complete affidavit of gift documentation to ensure the legality of the transfer.
  • Vendor Registration Form: This document is necessary for vendors to register with the State of Michigan. It collects essential information about the vendor, including business structure and contact details.
  • Direct Deposit Authorization Form: Similar to the 3636A, this form specifically authorizes direct deposit for payments. It may be required by certain agencies or for specific payment types.
  • Change of Address Form: Vendors must submit this form to update their mailing address. Keeping accurate records ensures that all communications and payments reach the correct location.
  • Cancellation Request Form: This form is used to formally request the cancellation of a direct deposit authorization. It ensures that the state has a record of the request for audit purposes.
  • Payment Request Form: Vendors may need to submit this form to request payment for services rendered. It often includes details about the services, the amount due, and any relevant invoice numbers.
  • Financial Institution Verification Form: This document verifies the banking details provided by the vendor. It may be required to confirm that the account information is accurate and up to date.
  • Affidavit of Identity: In some cases, vendors may need to submit this affidavit to confirm their identity. This helps prevent fraud and ensures that payments are made to the rightful party.

Understanding these documents can help vendors navigate the process of electronic payments more effectively. Each form serves a specific purpose, contributing to the overall efficiency and security of financial transactions with the State of Michigan.

3636A Michigan Preview

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

 

 

 

 

Similar forms

  • IRS Form W-9: This form is used to provide taxpayer identification information to entities that need to report payments made to you. Like the 3636A, it collects your name, address, and taxpayer ID number.

  • Direct Deposit Authorization Form: Similar to the 3636A, this form allows individuals to authorize their employers or other payers to deposit funds directly into their bank accounts.

  • ACH Authorization Form: This document is used for Automated Clearing House transactions, allowing for electronic payments and withdrawals, much like the electronic funds transfer process in the 3636A.

  • State Vendor Registration Form: This form registers vendors with the state and collects similar information, such as bank details and taxpayer identification, to facilitate payment processing.

  • Georgia WC-3 Form: This crucial document serves to formally dispute a worker's compensation claim, notifying the State Board of Workers' Compensation about the controversy. For more details, you can refer to Forms Georgia.
  • Bank Account Change Form: When you need to update your banking information, this form serves a similar purpose to the change option on the 3636A, allowing you to provide new account details.

  • Payment Authorization Form: This document authorizes a business or organization to make payments on your behalf, similar to how the 3636A authorizes the state to deposit funds into your account.

  • Vendor Payment Request Form: This form is used to request payment from a state agency, requiring similar information about the vendor and their bank details for processing.

  • Electronic Payment Agreement: This agreement outlines the terms under which electronic payments will be made, similar to the consent and agreement section of the 3636A.

  • Payroll Direct Deposit Form: Like the 3636A, this form is specifically for employees to authorize their employers to deposit wages directly into their bank accounts.

  • Cancellation of Direct Deposit Form: This document allows individuals to cancel their direct deposit authorization, mirroring the cancellation option available on the 3636A.

Misconceptions

When it comes to the Michigan Department of Treasury 3636A form, there are several misconceptions that can lead to confusion. Understanding the facts can help ensure a smooth experience when managing your electronic funds transfer (EFT) authorization. Here are eight common misconceptions:

  • Filing the form is mandatory. Many believe that submitting the 3636A form is required. In reality, filing is voluntary. You can choose whether or not to set up electronic payments.
  • Changing bank information is complicated. Some think that updating their banking details is a daunting task. However, once you enter changes on the C&PE website, completing the form is straightforward.
  • You must close your old bank account immediately. There is a common belief that you should close your previous account as soon as you submit the form. It’s important to wait until electronic payments are successfully received in your new account before doing so.
  • Cancellation is difficult. Many worry that revoking their authorization is a complicated process. In fact, you can easily cancel your authorization either online or by submitting the form.
  • The form is only for businesses. Some think that only businesses can use this form. Individuals can also utilize the 3636A form to authorize payments directly to their accounts.
  • All signatures are not necessary. Some believe that only one signature is required for the form. If more than one signature is needed for fund withdrawal, all required parties must sign the form.
  • Incorrect information is not a big deal. There is a misconception that minor errors on the form won't matter. In reality, providing accurate information is crucial to avoid delays or errors in payment processing.
  • Once authorized, it can't be changed. Some think that once they authorize the EFT, they cannot make any changes. This is not true; you can update your information as needed by following the proper steps.

By dispelling these myths, you can approach the 3636A form with confidence. Understanding the process will help you manage your electronic payments effectively and efficiently.

Detailed Instructions for Using 3636A Michigan

After completing the Michigan Department of Treasury 3636A form, you will need to submit it to the appropriate office for processing. Ensure that all information is accurate to avoid delays in payment processing. The following steps outline how to fill out the form correctly.

  1. Choose the Type of Authorization: Select one option: NEW, CHANGE, or CANCELLATION.
  2. Payee Information: Fill in your name, Social Security Number (SSN), Federal Employer ID Number (FEIN), or Individual Taxpayer ID Number (ITIN).
  3. Mailing Address: Provide your complete mailing address, including street or RR#, city, state, and ZIP code.
  4. Contact Person: Enter the name and title of a contact person for your account.
  5. Email Address: Provide a valid email address for communication purposes.
  6. Daytime Telephone Number: Include a phone number where you can be reached during business hours.
  7. Financial Institution Information: Fill in the name of your financial institution and its telephone number.
  8. Routing Transit Number: Enter the routing number associated with your bank account.
  9. Account Holder's Name: Provide the name(s) of the account holder(s) for the account receiving the funds.
  10. Account Number: Fill in the account number where the electronic funds will be deposited.
  11. Account Type: Select either Checking or Savings, and indicate whether it is a Consumer or Commercial account.
  12. Authorization: Read the authorization statement carefully and ensure you understand the terms.
  13. Signatures: Print or type the name of the payee or authorized signatory, provide their title, and obtain necessary signatures with dates.

Once the form is completed, send it to the State of Michigan, Department of Management & Budget, Office of Financial Management, at the provided address or fax it to the designated number. Keep a copy for your records.

Dos and Don'ts

When filling out the Michigan Department of Treasury 3636A form, there are important guidelines to follow. Here’s a list of things you should and shouldn't do:

  • Do ensure all banking information is entered on the C&PE Web site before completing the form.
  • Do select the correct type of authorization: NEW, CHANGE, or CANCELLATION.
  • Do double-check that all information is accurate and complete before submission.
  • Do provide a valid daytime telephone number for any follow-up questions.
  • Do sign and date the form where indicated to validate your authorization.
  • Don't close your old bank account until you confirm that payments are being deposited into your new account.
  • Don't forget to attach additional signatures if more than one is required.
  • Don't submit the form without reviewing the National Automated Clearing House Association Rules and Regulations.
  • Don't use incorrect or outdated information, as this may delay payments.
  • Don't hesitate to contact the Office of Financial Management if you have questions.