I certify that a completed CUSTOMER AUTHORIZATION FOR DIRECT PAYMENT VIA ACH (ACH DEBITS) form has been submitted to the DCR.
I certify that I am authorized to debit or withdraw monies via ACH to pay DCR fees from the account/s listed on the CUSTOMER AUTHORIZATION
FOR DIRECT PAYMENT VIA ACH form submitted to the DCR.
I acknowledge that each party shall bear the respective fees and other charges assessed by its designated banks and third party service providers
related to this ACH transaction.


ACH Logon:

*Company ID:

   

*User ID:

   

*Password:

   
*Password is UpperCase/LowerCase Sensitive
     
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