East Tennessee State University
Beneficiary ACH/Direct Deposit Authorization
A thorough review of the information below will minimize any delays
in the processing of your form and ensure a timely processing of any payments to
you from ETSU via direct deposit.
Why do I need to submit this form?
- This form is necessary to establish you in our eProcurement system in
order to issue payments to you via direct deposit.
- If you are a non-US citizen and do not have a US bank
account, this form is not necessary. Please submit a W-8 BEN-E form to your ETSU
correspondent.
How do I get access to this form?
You
must create a free Dynamic Forms account before you can sign in to submit your information.
- If you have already completed this step:
- Please continuing reviewing the rest of the additional information below.
- Then click the link below.
- Login with the username and password you created in the
Dynamic Forms system to
submit the form.
- (You should have received a confirmation email after
you created your Dynamic Forms account.)
- If you have NOT already completed this step:
- Please continuing reviewing the rest of the additional information below.
- Then click the link below.
- Select the “Create New Account” link from the Dynamic
Forms login webpage to create your free Dynamic Forms
account.
- You will receive a confirmation email and you will
need to then activate your Dynamic Forms account.
- You will then be able to login and submit your
information.
What do I need to know in order for me to help streamline this
process?
- Tips:
- Input EIN/SSN without dashes (example:
123456789, not 123-45-6789)
- You will need to attach a completed and signed
W9 & voided check/bank letter, please have those ready as PDF or image files when you are ready to
submit the application.
- DO NOT opt-out of e-signature at
the end of the application:
- You must submit this form by
providing your electronic signature in order for it to be accepted
as an official authorization of payment by direct deposit.
- You will receive a confirmation
email after you provide your electronic signature and submit the
form.
- There is no need to contact
ETSU to confirm the receipt of this form if you receive your
confirmation email after submitting the form.
- If you select opt-out, you
will be required to FILL OUT THIS ENTIRE FORM FROM SCRATCH AGAIN in
order to resubmit it with your electronic signature.
To proceed to the ETSU Beneficiary ACH/Direct
Deposit Authorization, please click the link below:
https://dynamicforms.ngwebsolutions.com/Submit/Start/7312521f-a891-48d0-af79-8595d6ac2410?SSO=N