What does the ACH authorization allow?

It authorizes Muskegon County to electronically credit the listed bank account and, if necessary, debit it to correct erroneous credits.

What should I include with the form?

Include a copy of a voided check or deposit slip along with the completed authorization.

How do I submit the ACH authorization?

Mail the completed form and the requested bank document to Muskegon County Accounting Services, 141 E Apple Ave, Muskegon, MI 49442.

Do I need a notary for the ACH authorization?

No. Sign and date the authorization; a notary is not required. Include a voided check or deposit slip, which the form does not say must be notarized or sworn.

Muskegon County, MI · Muskegon County

No notary required

Authorization for Direct Deposit (ACH) Payments

Muskegon County vendors use this authorization to request electronic payments to a checking or savings account.

At a glance

Issued by: City of Muskegon County · Muskegon County, Muskegon County, Michigan
Notarization: Not required: file this form without a notary.
Official source: co.muskegon.mi.us
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form authorizes Muskegon County to deposit payments electronically into the vendor’s specified bank account and, if needed, debit it to correct erroneous credits. Vendors requesting ACH payments provide their name, address, contact details, bank information, account type, and signature. The county asks applicants to include a voided check or deposit slip and allows up to 14 days to process a request.

Who needs it

A vendor who wants Muskegon County to send payments electronically to a checking or savings account should complete this authorization.

How to submit it

Mail the completed form and a copy of a voided check or deposit slip to Muskegon County Accounting Services, 141 E Apple Ave, Muskegon, MI 49442.

About notarization

This document is signed and dated without a notary; it asks for a voided check or deposit slip, but no notarized or sworn attachment.

How to submit this form

1
Download the Authorization
Download the Muskegon County ACH direct deposit authorization.
2
Complete the Form
Enter your name, address, contact details, bank information, and account type, then sign and date the authorization.
3
Gather the Attachment
Include a copy of a voided check or deposit slip.
4
Mail It to the County
Mail the completed form and attachment to Muskegon County Accounting Services at 141 E Apple Ave, Muskegon, MI 49442.

Frequently asked questions

What does the ACH authorization allow?: It authorizes Muskegon County to electronically credit the listed bank account and, if necessary, debit it to correct erroneous credits.
What should I include with the form?: Include a copy of a voided check or deposit slip along with the completed authorization.
How do I submit the ACH authorization?: Mail the completed form and the requested bank document to Muskegon County Accounting Services, 141 E Apple Ave, Muskegon, MI 49442.
Do I need a notary for the ACH authorization?: No. Sign and date the authorization; a notary is not required. Include a voided check or deposit slip, which the form does not say must be notarized or sworn.

Need something notarized?

This Authorization for Direct Deposit (ACH) Payments doesn’t need a notary, but Michigan residents can notarize other documents online with a commissioned online notary.