Automated Clearing House (ACH) Authorization Form Information/Instructions

All funds will be provided to employers via Electronic Funds Transfer (EFT). All employers are required to complete an ACH Authorization Form. Please complete the authorization form (26 KB PDF) and follow the instructions below.

You must identify the bank transit routing number to which the funds should be transferred (request this 9-digit number from your bank) and the bank account number to which the funds are to be credited. If you participate in more than one program and the account information is different for each program, you will need to complete a separate ACH Authorization Form for each program.

If the funds are for a branch site and are to be deposited directly into the branch site’s account, list the address for the branch on the ACH form. When the funds are to be transferred into the account of a particular department, be sure to list the department name.

Upon receipt of the authorization form and verification of the data by your bank, the process will be placed into effect. All payments will be processed via ACH. If you have any questions regarding the completion of the electronic funds ACH Authorization Form, please contact State Grant and Special Programs staff at 1-800-443-0646, option 3, a private number reserved for the use of financial aid administrators and employers. Return your completed form to:

PHEAA
EFT Department
P.O. Box 1465
Harrisburg, PA 17105-1465

Or FAX to: (717) 720-3913