Electronic Funds Transfer Authorization Agreement Form printable pdf download

MARTIN O’MALLEY, Governor

ANTHONY G. BROWN, Lt. Governor

THOMAS E. PEREZ, Secretary

Division of Employment & Training

Office of Unemployment Insurance

DLLR Home Page •

Unemployment Insurance E-mail • ach@dllr.state.md.us

Electronic Funds Transfer Information Guide

Electronic funds transfer (EFT) is a method of instructing financial institutions to transfer money from one

account to another electronically, eliminating the use of paper checks. The Contribution Division of

Maryland’s Office of Unemployment Insurance now accepts limited EFT payments. The EFT program for the

quarterly unemployment insurance payments is voluntary and limited to ACH credit payments.

AUTOMATED CLEARING HOUSE (ACH) CREDIT

The ACH credit method allows you to transfer funds by instructing your financial institution to debit your

account and credit the State Unemployment Insurance bank account. You are responsible for any costs charged

by your financial institution for ACH transactions.

RECORD FORMAT REQUIREMENTS

Your financial institution will debit your account and credit the state unemployment insurance bank account

through the ACH network. To report your tax payment correctly, your financial institution must originate your

payment using the Cash Concentration or Disbursement plus Tax Payment Addendum (CCD+/TXP) format.

This standard has been adopted for tax payments by the National Automated Clearing House Association

(NACHA). Check with your financial institution to confirm that they can originate your tax payment using this

record format. If you choose the ACH credit method, the Contributions Division will mail you their EFT bank

account and routing and transit number. You must provide this information to your financial institution before

you report your first payment.

WHEN TO REPORT A PAYMENT

An ACH credit transaction is timely if funds settle into the state unemployment insurance bank account the next

banking day following the due date for the quarter. The four quarterly due dates are: April 30, July 31, October

31, and January 31. ACH credit filers may need one additional processing day for their payments to settle

timely. Your financial institution should be able to advise you when to initiate your payment.

HOW TO REGISTER

To begin remitting your unemployment insurance taxes by EFT, complete, sign, and submit an authorization

agreement form to the Contributions Division of Maryland’s Office of Unemployment Insurance. KEEP THE

ORIGINAL FOR YOUR RECORDS. You may begin to remit your payments via EFT-ACH credit

immediately.

410-767-2658

Contributions Division – Room 414

410-767-2501

1100 N. Eutaw Street

Baltimore, Maryland 21201

Keeping Maryland Working and Safe

Electronic Funds Transfer Authorization Agreement Form