Request a ACH Vendor Authorization Form

Authorizing the City of Topeka to originate Automated Clearing House electronic fund transfer (EFT) credit entries to Vendor’s account.


Step 1.Why Do I Need An ACH Form

Any vendor entering into an agreement with the City must fill out an ACH Form

Step 2.What Information Do I Need

  • Contact Information
  • Address
  • Email for remittance advice
  • Name of bank account
  • Bank name
  • Bank routing number
  • Type of account (savings, checking, demand)

Step 3.Submit ACH Form

 ACH Form


Step 1.Complete the form and mail to:

Step 2.

City of Topeka

Attn: Accounts Payable

215 SE 7th St, Room 358

Topeka, KS 66603

Step 3.ACH Form (PDF)

Printable Form


 Complete the form and fax to: