Arizona Administrative Code
Title 17 - TRANSPORTATION
Chapter 8 - DEPARTMENT OF TRANSPORTATION - FUEL TAXES
Article 4 - ELECTRONIC FUNDS TRANSFERS
Section R17-8-403 - Electronic Funds Transfer Declaration
Universal Citation: AZ Admin Code R 17-8-403
Current through Register Vol. 30, No. 38, September 20, 2024
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.
B. The electronic funds transfer declaration shall be made on a form approved by the Department and shall contain the following:
1. Licensee name;
2. Licensee Employer Identification Number
(EIN);
3. Business
address;
4. ADOT account
number;
5. Payment type;
6. Either ACH credit or ACH debit payment
method;
7. Name, title, email
address, and phone number of contact person;
8. Signature of the authorized representative
of the licensee; and
9. Any other information required by the
Director.
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