Sign Up for EFT

Please use the form below to sign up for EFT payments with Haldimand County. If you have any trouble submitting your form, or you have questions, use our contact form located on the main Finance page to connect with us.

Vendor Name*
Phone*
Fax
Email (for remittance advice)*

The payment notification will be sent to you by email. We recommend using an email address that will not be affected by staffing changes.
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
No HST Number
- Not registered for HST
HST Number*
Financial Institution Information
Application Type*
- This is a NEW application
- This is to CHANGE BANKING INFORMATION already on file with Haldimand County
Financial Institution Number*
Expecting 3 digits, please put leading zeros if less than 3 digits
Branch Transit Number*
Expecting 5 digits, please put leading zeros if less than 5 digits
Account Number*
Expecting 12 digits, please put leading zeros if less than 12 digits
Financial Institution Name*
Branch Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Attach Void Cheque or Encoded Bank Document Here*
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 512 MB.
Authorization
I/we authorize the Corporation of Haldimand County to make all payments by direct deposit into the above account. I/we have the authority to provide the above information on behalf of the corporation/organization/payee.
How many signatures are required?*
Name*
First Last
Position / Title*
Signature*
Hidden
Date*
DD slash MM slash YYYY
Second Name (if additional signature is required)*
First Last
Position / Title of second individual*
If more than one signature required*
Hidden
Date of second signature
DD slash MM slash YYYY
Comments
This field is for validation purposes and should be left unchanged.

Sign Up for EFT

Financial Institution Information

Authorization

LaFortune Park closed for hazard tree maintenance April 22-26

Public Input Required – Sunday Gun Hunting

Ditch Burning

Notice of Construction: County Road 29 Bridge Rehabilitation

About Haldimand County

Administrative Building

Phone Numbers

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