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The Michigan Department of Treasury 3636A form serves as an essential tool for vendors seeking to authorize electronic funds transfers (EFT) for payments owed by the state. This form, which is filed voluntarily, allows vendors to establish, modify, or cancel their direct deposit arrangements. When initiating a new authorization, it is crucial for vendors to enter all banking information on the C&PE website prior to completing the form. If changes to existing banking details are necessary, vendors must first update their information online before submitting the form with the revised account details. The cancellation process is straightforward, allowing vendors to revoke prior authorizations either through the C&PE website or by submitting the completed form. This form also requires key payee information, including taxpayer identification numbers and banking details, ensuring that electronic payments are directed to the correct accounts. By signing the form, vendors authorize the state to deposit payments electronically and agree to abide by relevant rules and regulations. This process not only streamlines payment but also enhances financial efficiency for both the state and its vendors.

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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

 

 

 

 

Form Specifications

Fact Name Details
Form Purpose The 3636A Michigan form is used for Electronic Funds Transfer (Direct Deposit) Authorization for vendor payments.
Governing Law This form is issued under Public Act 94 of 1979, which governs electronic funds transactions in Michigan.
Filing Status Filing this form is voluntary for vendors wishing to receive payments electronically.
Authorization Types Vendors can select from three types of authorization: New, Change, or Cancellation.
Contact Information For questions, vendors can contact the Office of Financial Management at (517) 373-4111 or (888) 734-9749.

3636A Michigan: Usage Guidelines

Filling out the Michigan Department of Treasury 3636A form requires careful attention to detail. This form facilitates the electronic transfer of funds to vendors. After completing the form, it must be submitted to the appropriate state department for processing.

  1. Select the type of authorization: NEW, CHANGE, or CANCELLATION.
  2. If you selected NEW or CHANGE, enter all banking information on the C&PE Web site before proceeding.
  3. Complete the Payee Information section by providing the following details:
    • Payee Name
    • SSN, FEIN, or ITIN
    • Mailing Address (Street or RR#)
    • City, State, ZIP Code
    • Name and Title of Contact Person
    • E-mail Address
    • Daytime Telephone Number
  4. In the Financial Institution section, provide:
    • Financial Institution Name
    • Routing Transit Number
    • Financial Institution Telephone Number
    • Account Holder's Name(s)
    • Account Number for Deposit of Electronic Funds Transfer
    • Account Type (select either Checking or Savings)
  5. Read the authorization statement carefully, ensuring that you understand the terms and conditions.
  6. Print or type the name of the Payee or Payee's Authorized Signatory.
  7. Indicate the title of the Authorized Signatory.
  8. Sign and date the form in the designated areas.
  9. If necessary, have any secondary signatories sign and date the form as well.
  10. Submit the completed form by mailing it to the address provided or faxing it to the appropriate number.

Your Questions, Answered

What is the purpose of the Michigan 3636A form?

The Michigan 3636A form is used to authorize electronic funds transfers (EFT) for vendor payments from the State of Michigan. By completing this form, you allow the state to deposit payments directly into your designated bank account, streamlining the payment process and reducing the time it takes to receive funds. This form is issued under Public Act 94 of 1979, and while filing is voluntary, it can greatly enhance the efficiency of payment transactions.

How do I complete the 3636A form?

To complete the 3636A form, first select the type of authorization you need: NEW, CHANGE, or CANCELLATION. If you are setting up a new account, you must enter all banking information on the C&PE website before filling out this form. If you are making changes, update your banking information on the website first, then complete the form with the new details. For cancellation, you can either inactivate your EFT authorization online or check the cancellation box on the form. Ensure that all required fields are filled out accurately, and then submit the form by mail or fax as indicated.

What information do I need to provide on the form?

The form requires several key pieces of information. You will need to provide your payee name, Social Security Number (SSN), Federal Employer Identification Number (FEIN), or Individual Taxpayer Identification Number (ITIN). Additionally, you must include your mailing address, the name and title of a contact person, an email address, and a daytime telephone number. Banking details such as the financial institution's name, routing transit number, account holder's name, account number, and account type (checking or savings) are also necessary for processing your EFT request.

What should I do if I need to change my banking information?

If you need to change your banking information, you should first update your details on the C&PE website. After that, complete the 3636A form by entering the changes to your financial institution, account number, or account type. It is crucial to wait until electronic payments are successfully received in your new account before closing your old bank account to avoid any disruption in payments.

How can I cancel my electronic funds transfer authorization?

You can cancel your EFT authorization in two ways. One option is to access your vendor record on the C&PE website and inactivate your authorization electronically. Alternatively, you can check the cancellation box on the 3636A form, complete the necessary information, and submit it to the appropriate address or fax number. Ensure that you follow the required process to avoid any delays in the cancellation of your authorization.

Who can I contact if I have questions about the 3636A form?

If you have any questions or need assistance with the 3636A form, you can contact the Office of Financial Management at the State of Michigan. They can be reached at (517) 373-4111 or toll-free at (888) 734-9749. Their staff will be able to provide guidance and support to help you navigate the process smoothly.

Common mistakes

  1. Incorrect Authorization Type: Failing to select the correct type of authorization (new, change, or cancellation) can lead to processing delays.

  2. Missing Banking Information: Not entering all required banking details on the C&PE Web site before submitting the form can result in rejected applications.

  3. Old Account Closure: Closing the old bank account before confirming that electronic payments have been received in the new account can cause payment issues.

  4. Incomplete Contact Information: Omitting essential contact details, such as the daytime telephone number or email address, may hinder communication regarding the authorization.

  5. Incorrect Account Type: Selecting the wrong account type (checking or savings) could lead to funds being deposited incorrectly.

  6. Signature Issues: Not providing all required signatures, especially when multiple signatures are necessary, can delay processing.

  7. Failure to Review: Not reviewing the form for accuracy before submission can result in errors that affect payment processing.

  8. Ignoring Cancellation Procedures: Not following proper procedures for cancellation can lead to continued electronic transfers to an unwanted account.

Documents used along the form

The Michigan Department of Treasury 3636A form is crucial for vendors seeking to set up electronic funds transfers for payments. To facilitate this process, several other documents may be needed. Here’s a brief overview of these forms and their purposes.

  • Vendor Registration Form: This form collects essential information about the vendor, including business details and contact information. It ensures that the vendor is properly registered in the state's system before payments can be processed.
  • W-9 Form: The W-9 form is used to provide the vendor's taxpayer identification number (TIN) to the state. This is necessary for tax reporting purposes and helps the state verify the vendor’s identity.
  • Direct Deposit Agreement: This document outlines the terms and conditions of the direct deposit arrangement. It includes details about the vendor's bank account and the authorization for the state to deposit funds electronically.
  • Cancellation Form: If a vendor wishes to revoke their electronic funds transfer authorization, this form is used. It ensures that the state is notified to stop future electronic payments to the vendor’s account.

These documents play a vital role in ensuring a smooth payment process between vendors and the state of Michigan. Proper completion and submission of these forms can help avoid delays and ensure that payments are received promptly.

Similar forms

The Michigan Department of Treasury 3636A form is an important document for vendors who wish to authorize electronic funds transfers for payments. This form shares similarities with several other documents used in various financial and administrative contexts. Here are five documents that resemble the 3636A form, along with an explanation of their similarities:

  • Direct Deposit Authorization Form: This form is commonly used by employees to authorize their employers to deposit wages directly into their bank accounts. Like the 3636A form, it requires banking information and consent for electronic transactions.
  • ACH Authorization Form: The Automated Clearing House (ACH) authorization form allows individuals or businesses to permit recurring payments or deposits. Similar to the 3636A form, it involves providing account details and a signature to authorize electronic funds transfers.
  • Vendor Registration Form: Many organizations require vendors to fill out a registration form that includes payment preferences and banking information. This is akin to the 3636A form, as both documents gather essential information to facilitate payments electronically.
  • Bank Account Change Form: When individuals or businesses change their bank accounts, they often complete a bank account change form to update their information. Like the 3636A form, it involves notifying the relevant parties about changes in banking details to ensure accurate transactions.
  • Payment Cancellation Form: This form is used to revoke or cancel previous payment authorizations. It shares a functional similarity with the 3636A form, as both allow individuals to manage their payment authorizations effectively.

Understanding these documents can help streamline financial transactions and ensure that payments are processed smoothly. Each form plays a vital role in facilitating electronic payments while ensuring that all parties involved have the necessary information to execute transactions safely and efficiently.

Dos and Don'ts

When filling out the 3636A Michigan form for Electronic Funds Transfer (Direct Deposit) Authorization, it is important to follow certain guidelines to ensure a smooth process. Below are four things you should and shouldn't do:

  • Do: Enter all required banking information on the C&PE Web site before completing the form.
  • Do: Double-check your account number and routing transit number for accuracy.
  • Don't: Close your old bank account until you confirm that electronic payments are being received in your new account.
  • Don't: Forget to provide a valid daytime telephone number for any follow-up questions.

Following these guidelines can help prevent delays or issues with your electronic funds transfer authorization. Ensure that all information is accurate and complete before submission.

Misconceptions

Here are five common misconceptions about the Michigan Department of Treasury 3636A form:

  • Filing is mandatory. Many people believe that submitting the 3636A form is required. In reality, filing is voluntary. You can choose whether or not to enroll in electronic funds transfer.
  • Changes must be made on the form only. Some think that any updates to banking information can only be done on the form itself. However, you must first enter all bank-related changes on the C&PE Web site before completing the form.
  • You can close your old bank account immediately. A common misunderstanding is that you can close your previous bank account right after submitting the new information. It is important to wait until you have received electronic payments in your new account before closing the old one.
  • Cancellations are complicated. Many believe that canceling their authorization is a difficult process. In fact, you can cancel your authorization easily by either inactivating it on the C&PE Web site or checking the cancellation box on the form and submitting it.
  • Only one signature is needed. Some individuals assume that only one signature is required to authorize the withdrawal of funds. If more than one signature is necessary, all required signatories must sign the form, and additional signatures can be attached on a separate page.

Key takeaways

When filling out and using the Michigan Department of Treasury 3636A form for Electronic Funds Transfer (EFT) authorization, consider the following key takeaways:

  • Filing is Voluntary: Completing this form is not mandatory; it is an optional process for vendors.
  • Authorization Types: You can select one of three types of authorizations: New, Change, or Cancellation. Each type requires specific actions regarding your banking information.
  • Bank Information: If you are submitting a new authorization, enter all banking details on the C&PE website before completing the form.
  • Do Not Close Old Accounts: If you are changing your banking information, do not close your old account until you confirm that electronic payments have been received in your new account.
  • Mailing Instructions: Completed forms should be mailed or faxed to the designated address or number provided on the form.
  • Contact Information: If you have questions, you can reach the Office of Financial Management at the specified phone numbers for assistance.
  • Consent and Compliance: By signing the form, you agree to comply with relevant rules and regulations regarding electronic funds transfers.