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Direct debit authority request
Finance request template
An authority in which an account holder permits a business to debit their nominated bank account or card for agreed payments under a direct debit arrangement.
A direct debit authority is the account holder's signed permission for a business to draw payments from their nominated bank account or card. It typically records the account details, the amounts or how they are calculated, the timing of debits and the terms of the arrangement. A signed authority is important because debits should only be made with the account holder's clear consent.
Direct debit arrangements in Australia operate under industry rules, and providers are generally expected to give the customer a service agreement explaining their rights, including how to cancel or dispute a debit. Capturing the authority as a signed record supports compliance and reduces disputes. This is general information about the arrangement, not financial or legal advice on your specific obligations.
Direct debit authority request
Please review and sign this direct debit authority so payments can be processed.
Account holder
14 days
Authorise direct debit
Finance teams
Electronic signatures are generally recognised in Australia when the account holder consents and is identifiable, and electronic direct debit authorities are widely used. You should still meet the direct debit rules that apply to you. This is general information, not legal or financial advice.
No. Cosign captures and tracks the signed authority only. Processing debits requires a bank or payment provider and your own direct debit facility.
Yes. The authority is sent via a private link and is not published or indexed by search engines. Add a password for an extra layer of protection on sensitive bank details.
Cancellation terms should be set out in your direct debit service agreement, and the account holder can usually also contact their bank. The signed authority records the original consent, not any later cancellation.
Under Australian direct debit arrangements, providers are generally expected to give customers a service agreement explaining their rights. Check the rules that apply to you, as a signing tool does not replace compliance advice.
Finance · Please acknowledge the payment terms in the attached document.
Finance · Please review and sign this payment plan agreement if the schedule is accepted.
Finance · Please review and sign this loan agreement if the terms are agreed.
Cosign helps you send and track signed documents. The information on this page is general and is not legal, tax, or financial advice — check your obligations or speak to a professional for your situation.