Community Resources for Justice (CRJ) offers certain vendors the option of having payments electronically transferred to their financial institution (bank/credit union/etc.). INSTRUCTIONS ADDITIONAL INFORMATION SUBMIT FORM TO: 1. Attach a Voided Check OR Bank Documentation of your In the event you are paid monies which you are not entitled, by Accounts Payable Savings/Checking Account to this form (acquire official completing this form you authorize CRJ to withdraw only the Community Resources for Justice documentation from any of your bank’s branches) monies deposited to your account to which you are not entitled 500 Harrison Avenue, Suite 1-F 2. Complete this form ABA/Routing # and Account # are the – Boston, numbers at the bottom of your checks OR you can acquire this information from your Bank. Fax: (617) 423-2268 3. Sign and Date this Form 4. Submit to Accounts Payable 5. Questions: Call Medina Shanks at 617-423-2020 x 2204 NOTE: Incomplete or Missing Information will slow the time to your electronic funds transfer. Check One Bank Name ABA/Routing # Account# Check One $ Amount New Change Cancel Checking Saving Vendor Name (Print) Program Vendor Signature Date
Community Resources for Justice (CRJ) offers certain vendors the option of having payments electronically transferred to their financial institution (bank/credit union/etc.). INSTRUCTIONS 1. Attach a Voided Check OR Bank Documentation of your Savings/Checking Account to this form (acquire official documentation from any of your bank’s branches) 2. Complete this form – ABA/Routing # and Account # are the numbers at the bottom of your checks OR you can acquire this information from your Bank. 3. Sign and Date this Form 4. Submit to Accounts Payable 5. Questions: Call Medina Shanks at 617-423-2020 x 2204 NOTE: Incomplete or Missing Information will slow the time to your electronic funds transfer. ADDITIONAL INFORMATION In the event you are paid monies which you are not entitled, by completing this form you authorize CRJ to withdraw only the monies deposited to your account to which you are not entitled SUBMIT FORM TO: Accounts Payable Community Resources for Justice 500 Harrison Avenue, Suite 1-F Boston, Fax: (617) 423-2268 Check One Bank Name ABA/Routing # Account# Check One $ Amount New Change Cancel Checking Saving Vendor Name (Print) Program Vendor Signature Date
Vendor%20EFT%20Enrollment%20Form.docx