ACH Credit Payment Registration
are applying to send Connecticut Unemployment Insurance tax or reimbursement
via ACH credit. Please complete the following information.
ACH CREDIT PAYMENT
For the ACH Credit payment option, you will
be responsible for contacting your bank, indicating the amount you want sent
and having the transaction completed timely for funds to be received by the
Connecticut Department of Labor on or before the ACH due date. I hereby
request the Connecticut Department of Labor to grant authority for the
above-named taxpayer to initiate ACH Credit transactions to the State
Treasurer's bank account. I understand these must be in the NACHA CCD+
format using the TXP convention.
I have read and agree to the above instructions.
200 Folly Brook Boulevard, Wethersfield, CT 06109 / Phone: 860-263-6000
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