Vendor Payment Setup

Set up ACH payments from Revenue Cycle Solutions

So we can pay you by direct deposit (ACH), please provide your business and banking details and attach a W-9 and a voided check. We confirm these details with you directly before sending any payment.

Your banking details are submitted securely and are never sent by email. We will call or email a contact we already have on file to confirm this account before paying it.

1 Your Business

Legal Business Name * (as on your W-9)

DBA (if any)

Tax Classification (from your W-9)

Employer Identification Number (EIN) (if you have one)

Optional — leave blank if you file under a Social Security Number. Do not enter an SSN here; your W-9 below is what we keep on file.

Email for Remittance / Payment Notices *

Contact Name *

Contact Phone (or email below)

Contact Email (or phone above)

Give us at least a phone number or an email so we can reach you.

2 Bank Account for Deposit

Financial Institution *

Account Type *

Checking Savings

Routing Number * (9 digits)

Account Number *

Re-enter Account Number *

3 Documents

W-9 * (PDF or image)

Voided Check or Bank Letter * (PDF or image)

Both are required. The W-9 is what we keep on file for your 1099; the voided check or bank letter is how we confirm your account details.

Submitted securely to Revenue Cycle Solutions. Bank details are never sent by email.

Set up ACH payments from Revenue Cycle Solutions

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