ACH Direct Payment Authorization

Carrier Packet Step 3 of 3 — Authorize direct ACH electronic payments to your account.

Step 3: ACH Direct Payment Authorization

If you would like to sign up for direct ACH payments from Transworth Logistics, Inc., please complete this form below, or click Submit to finish your packet if using a factoring company.

Carrier Name *

MC #

Factoring Company (if applicable)

I authorize Transworth Logistics, Inc. to initiate:

Credits / Payments Debit / Drafts

Account Type:

Checking Account Savings Account

Name of Bank

Bank City

Bank State

9-Digit Bank Routing Number

Bank Account Number

Name on Bank Account

Remittance Advice Email

🔒 Upload Voided Check or Bank Letter (Stored in Protected Vault)

I understand that, if necessary, an adjusting debit or credit entry may be made to correct an error. I also authorize the financial institution named above to credit and/or debit my account for the correcting entries. I duly certify that I am an authorized signer of said account and have the right to enter into this agreement. This authority will remain in full force and effect until Transworth Logistics, Inc. has received written notification from me that the draft authorization has been revoked.

Authorized Account Signer Signature

Please sign inside the box above using your mouse or finger.