Electronic Payment Request - External Applicants

PDF Version - Fill & Print (858 Kb, 3 Pages)

PROTECTED B (When Completed)
INTER 20-545E 2014-05-30 (A)

Privacy Act Statement

The personal information is used to support the payment of financial benefits and entitlements in relation to expenses, fees, claims and other non-payroll payments. The personal information is collected pursuant to the section 33 and 34 of the Financial Administration Act (FAA). The SIN is collected pursuant to the Income Tax Act and may be used to issue various income reporting slips. Information may be shared with Public Works and Government Services Canada (Receiver General for Canada) for payment purposes. In some cases, the SIN and other information is shared with the Canada Revenue Agency. Individuals have the right to the protection of and access to their personal information under the Privacy Act. The information collected is described in bank PSU 931. The information is retained in perpetuity.

PLEASE READ THE INSTRUCTIONS ON LAST PAGE BEFORE FILLING THE INFORMATION BELOW.

Complete this form if you wish to change your:

When you request one of these changes, DO NOT close your present electronic payment account until you receive your payment in accordance with that change.


(Required only for certain entities. See requirements/last page)
OR

(Required only for certain entities. See requirements/last page)

This banking information is applicable ONLY to this business address.

If this banking information is applicable to OTHER business addresses, please attach extra page to this request.

I certify that the above information is accurate and complete and that I have signing authority for the provided account. I authorize the Receiver General for Canada to deposit the payment(s) directly into the provided account until further notice.

Aboriginal Affairs and Northern Development Canada - Regional Contact

Important

Please attach a VOIDED cheque or an attestation from the bank with your request form. Return the completed form in a secure envelope to the Manager of Corporate Accounting, 10 Wellington, Room 1139, Gatineau, QC, K1A 0H4.

An amount of $2.01 will be deposited in your account in order to confirm the banking information.

Please confirm the reception of the deposit at the following address: DepotDirect_DirectDeposit@aadnc-aandc.gc.ca

Until your completed form has been processed, you will continue to be paid by cheque. For more information, see the instruction page (See last page)

Void Cheque

Corporate Accounting Use Only

Supplier Number
Date (YYYYMMDD)By Name
Received in Corporate Accounting
Entered in Standard Payment System (SPS)
Entered in SAP
Approved in Standard Payment System (SPS)
Test Initiated
Test confirmed by Supplier
Confirmed in Standard Payment System (SPS)
Enable in SAP

 

Instructions

One bank account registration per business address will be accepted.

If the applicant's bank account name is not IDENTICAL as the supplier name used for payment in the financial system, the electronic payment will be rejected by the bank.

The Electronic Payment request form should be filled out by applicants holding a Canadian currency bank account in Canada only.

In accordance with the Income Tax Act, all unincorporated entities must provide their social insurance number (SIN) or Business Number (BN) and all incorporated entities must provide their Business Number (BN) when entering in a contract for services and/or payments for products, expenses, or reimbursements with a federal department or agency, or Crown corporation. Each time you do not provide your SIN when you are supposed to, the Canada Revenue Agency may charge you a $100 penalty. The SIN and BN are not required for Grants and Contributions payments and Trust fund payments.

Confirmation of the test payment is REQUIRED from the applicant prior to activate the electronic payment. In the event of a technical problem with the electronic payment system, payments could be sent to the address as indicated on the request form.

The applicant will continue to receive payment according to the method currently in effect (by cheque or electronic payment) until the request is processed.

Note that direct deposit payments carry no stub information but a payment notification will be sent to the email address indicated on the request form. This notification will contain the amount of the payment, the invoice number and a description of the payment. To ensure that the payment notifications are not caught in your spam filters, add DepotDirect_DirectDeposit@aadnc-aandc.gc.ca to your address book.

You must inform AANDC of all modifications to be made to your account (financial institution, Branch Transit number, account number) and fill out a new Electronic Payment Request form. If you do request a modification to your profile, DO NOT CLOSE THE ACCOUNT which is presently serving as the electronic payment until you receive the payment reflecting your request of modification. For all other modifications (postal address, email address, telephone number, etc.), please send an email to the NationalSupplierTable@aandc-aadnc.gc.ca.

Return completed form to:
Manager of Corporate Accounting, 10 Wellington, Room 1139, Gatineau, QC K1A 0H4

Keep a copy of this form and instructions in your personal files.

**You should receive your first electronic payment within three (3) months after you send us this form. In the meantime, we will continue to send you a cheque.

Please be aware that your electronic payment request will also be used to issue payments from the Canadian Northern Economic Development Agency.