R17-8-403. Electronic Funds Transfer Declaration

A. Prior to remitting an initial payment by electronic funds transfer, and within 30 days prior to any change in the method of payment transfer, a licensee shall file with the Department an electronic funds transfer declaration. B. The electronic funds transfer declaration shall be made on a form approved by the Department and shall contain the following: 1. Licensee name; 2. Licensee Employer Identification Number (EIN); 3. Business address; 4. ADOT account number; 5. Payment type; 6. Either ACH credit or ACH debit payment method; 7. Name, title, email address, and phone number of contact person; 8. Signature of the authorized representative of the licensee; and 9. Any other information required by the Director.