ACH Stop Payment Request

Use this form to request a stop payment on a recurring or one-time ACH transaction or preauthorized electronic payment.

Requests must be submitted within a reasonable amount of time before the scheduled transaction date in order to be processed.

A stop payment fee of $35.00 may apply to this request.

Stop payment requests remain in effect until:

The request is canceled by the account owner
The transaction(s) are returned
For certain business/non-consumer requests, six months from the date of the request

Member Name *

Member Account Number *

Effective Date of ACH/Payment Cancellation *

Amount of Payment *

Company or Payee Name

Stop Payment Type

This is a one-time stop payment request

This is a permanent stop payment request

Fields below pertain to external Financial Institution information.

Stop Payment Disclosure *

I request that the Credit Union stop payment on the ACH transaction, electronic funds transfer (EFT), or preauthorized payment listed above.

Stop Payment Disclosure *

I understand that accurate information is required for the Credit Union to process this request, including: • Payment Amount • Date • Company or Payee Information. If incorrect or incomplete information is provided, the payment may be unable to stop payment on the transaction.

Processing & Timing *

I understand that stop payment requests must be received within a reasonable amount of time for the Credit Union to process the request before the transaction is completed.

Processing & Timing *

I understand that stop payment requests must be received within a reasonable amount of time for the Credit Union to process the request before the transaction is completed. For ACH or preauthorized electronic payments, requests should be submitted at least three business days before the scheduled transaction date whenever possible.

Processing & Timing *

I understand that this request is subject to verification that the transaction has not already been processed or paid.

Processing & Timing *

If a replacement or duplicate transaction is issued, I agree to notify the Credit Union promptly.

Processing & Timing *

I understand that a stop payment fee of $35 may apply to this request.

Liability Acknowledgment *

I understand that Ignite Credit Union is not responsible for losses, damages, or claims resulting from: Incorrect or incomplete information provided on this request and/or Transactions processed before the stop payment request was received or able to be processed

Liability Acknowledgment *

I agree to hold the Credit Union harmless for actions taken in good faith related to this request, to the extent permitted by law.

I understand this form is used to submit a request to my Credit Union. Submission of this form does not guarantee approval or completion of the requested change or service.

Your ACH Stop Payment request has been submitted. A Member Experience Representative may reach out to you if there are additional questions or if additional information is needed.

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