1. A. Prior to remitting an initial payment by electronic funds transfer, and within 30 days prior to any change in the method of payment transfer, a licensee shall file with the Department an electronic funds transfer declaration.

2. B. The electronic funds transfer declaration shall be made on a form approved by the Department and shall contain the following:

   1. 1. Licensee name;
   2. 2. Licensee Employer Identification Number (EIN);
   3. 3. Business address;
   4. 4. ADOT account number;
   5. 5. Payment type;
   6. 6. Either ACH credit or ACH debit payment method;
   7. 7. Name, title, email address, and phone number of contact person;
   8. 8. Signature of the authorized representative of the licensee; and
   9. 9. Any other information required by the Director.

Historical Note

New Section made by final rulemaking at 15 A.A.R. 225, effective March 7, 2009 (Supp. 09-1). Amended by final expedited rulemaking at 25 A.A.R. 3573, with an immediate effective date of December 3, 2019 (Supp. 19-4).