ACH Single - Credit Dispute Pros Application Form

Clients who prefer to make payments using a current checking account, please supply us with the information requested below. Setup payment will not be processed until our analysis of your situation is complete.

First Name *

Last Name *

Bank Name *

Bank Check Number *

Name on Checking Account *

Checking Account Address

City

State

Zip

ABA Routing Number *

Bank Account Number *

ABA Routing Number: The routing number must be nine digits. The first digits must be 01 through 12 or 21 through 32. Do not use a deposit slip to verify the number because it may contain internal routing numbers that are not part of the actual routing number. If your bank has recently had a merger or name change, please confirm your routing number.

Bank Account Number: The account number can be up to 17 digits and include numbers and letters. Omit hyphens, spaces, and special symbols. Be sure NOT to include the check number.

Please allow 7 business days for your request to be processed. Please note that EFT transmissions can take up to 72 hours to be posted to your account.

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