Payments BACS service

Payments BACS service Direct Debit registration Guidance notes for completion of form Use of this form This form is to be completed by customers that wish to become a Direct Debit Originator and submit Direct Debits and AUDDIS instructions to BACS using the Bank s Payments BACS product. The Service User Number is the 6 digit number allocated by us that references your Service User Name registered at BACS. A separate form is required for each BACS Service User Number. This form can also be used to arrange the transfer of sponsorship of an existing Service User Number from another bank to Lloyds TSB Bank plc. Service details (Section 1) This captures general information about your organisation. The Service User Name is the name that your Service User Number is to be registered under at BACS The Organisation name is your group name, if not part of a group please enter the Service User Name. The Service User Default e-mail address will be used by BACS when sending you e-mail notifications, advising you that your reports are available for collection. Direct Debit Instruction (Section 2.3) Please complete this instruction with reference to Section 9. About Our charges and Your payments of the Payment BACS Service Customer Agreement. Payment Authorisation Control (Section 4) This is how you manage control of all e-banking services used by your organisation. You may opt for Dual control where two Service Administrators are required to authorise changes to your service, or Single control where just one Service Administrator is required. Please be aware that your selected Payment Authorisation Control applies to all of your e-banking services, not just Payments BACS. We recommend that customers make use of dual control. Service Administrators details (Section 5) A Service Administrator is an individual within your organisation who is responsible for the use of the service. The Service Administrator is responsible for: acting as the single point of contact for the service with Lloyds TSB Bank plc; approving a user s access to the service; removing a user s access to the service; configuring a user s roles and access rights to the service; administration of users. Your nominated Service Administrators will automatically be provided with access to your BACS reports. In addition to the above duties Lloyds TSB will also need you to nominate: A Service Administrator to act as a Primary Service Administrator who will be the recipient for Authentication Cards and Readers. All Service Administrators must apply online (at www.lloydstsb. com/corporate) to register as a Service Administrator for Payments BACS. They will be provided with an Application Reference Number (ARN), which they must enter onto the service registration form. Please ensure that this reference is added to your service registration form, as we will be unable to process your Payments BACS application without it. We recommend that you appoint sufficient Service Administrators to cover for holidays and sickness. Direct Debit Operations (Section 6) Please provide details of how your organisation wishes to join the mandatory AUDDIS service. Further information is provided in the AUDDIS Service Definition guide available from your Relationship Manager or Regional Client Management team. Amalgamated collections are not recommended under AUDDIS. All Direct Debit Instructions (DDI) and Direct Debit (DD) references submitted under AUDDIS must be unique for the payer, and must be left justified starting from position 1. Variable data used in the reference must not appear on DDI s. Contractual agreement (Section 8) On receipt of a signed application form, your organisation will be considered to have accepted Lloyds TSB s Payment BACS Service Customer Agreement. General guidance notes Please complete and return this form, by first class post, to the address below: Lloyds TSB Electronic Banking Registrations P.O. Box 72 Bailey Drive Gillingham Business Park Gillingham Kent ME8 OLS Lloyds TSB or the Bank means Lloyds TSB entity (being one of the Lloyds TSB Bank plc, Lloyds TSB Scotland plc or Lloyds TSB Offshore Limited) with which you hold your account(s). We, ( the Bank ), agree to provide you ( the Customer ) with the Payments BACS service ( Payments BACS Service ) on the terms set out in the Agreement for the use of the Lloyds TSB Payments BACS service ( the Payments BACS Service Agreement ), which is available at www.lloydstsb.com/corporate The Bank also agrees to provide you with Secure e-mail on the terms set out in the Agreement for use of Secure e-mail ( the Secure e-mail Agreement ), which is at www.lloydstsb.com/corporate/secureemail To enable the Bank to process your application to use the Payments BACS Service, please complete the following information: Page of 10

1 Service User details Please write clearly in the white spaces with capital letters or cross the boxes. 1.1 Sub-section title Service User Name (the name that best represents your organisation s use of the Payments BACS service) Organisation name First line of address Second line of address City/Town County (UK only) Postcode Country (if not UK) Default e-mail address (an individual or group e-mail address for report notifications which must be an organisation issued address) Trading name Registration date Do you wish to transfer an existing Service User Number to the Bank? If yes what is the proposed date of transfer Existing Service User Number 1.2 User applications Please indicate what type of payments your organisation will be collecting via BACS Description (e.g. premiums, loan payments, subscriptions) Percentage of total payments made for this reason % Code (for bank use only) % % % % Total 100% For bank use only Payments BACS bureau number B 3 0 3 1 5 Service User Number Page 2 of 10

2 2.1 Charging details Invoice address (if different from organisation address in section 1) Addressee name First line of address Second line of address City/Town County (UK only) Postcode Country (if not UK) Invoice address region: UK EU non-uk n-eu VAT number (please provide if your invoice address is in the EU but not in the UK) 2.2 Settlement account details Please state the account to be used to collect any charges associated with the service. If you require settlement to an account external to Lloyds TSB, please complete Section 2.3 (Instruction to your Bank or Building Society to Pay by Direct Debit). Currency: Sterling Currency (Lloyds TSB a/c only) Currency type (if not sterling) Sort code 2.3 Direct debit instruction This to authorise the bank to collect Payments BACS charges using the Direct Debit Scheme. See next page for Direct Debit Instruction form. Please arrange completion of this instruction if you require the Bank to collect any charges from an account external to Lloyds TSB. Page 3 of 10

Instruction to your Bank or Building Society to pay by Direct Debit Please complete this form in black ink and send it to: Lloyds TSB Electronic Banking Registrations, P.O. Box 72, Bailey Drive, Gillingham Business Park, Gillingham, Kent ME8 OLS. To the Manager Name and full postal address of your Bank/Building Society Originator s identification number 8 3 8 0 3 6 Reference Instruction to your Bank or Building Society Please pay Lloyds TSB Payments BACS Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Lloyds TSB Payments BACS and if so, details will be passed electronically to my Bank/Building Society. Postcode Your signature(s) The name(s) on your account Bank/Building society account number Banks and Building Societies may not accept Direct Debit instructions for some type of accounts. The Direct Debit Guarantee This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society. If the amounts to be paid or the payment dates change Lloyds TSB Payments BACS will notify you 10 working days in advance of your account being debited or as otherwise agreed. If an error is made by Lloyds TSB Payments BACS or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid. You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us. Please detach this Guarantee and keep it for your records. Page 4 of 10

3 3.1 Account details Main account Please complete this section in full Expected maximum file submission in any one month 3.2 Additional accounts Additional accounts can be linked to the Service User Number. Please copy and attach as many additional sheets as necessary of this registration form (up to a maximum of 29 accounts per Service User Number) 4 Payment authorisation control Please cross relevant box Dual control Single control PLEASE NOTE: We recommend that you use dual control. Even with single control, we require a second service administrator in order to register your organisation on the BACS system. See Section 5. Page 5 of 10

5 5.1 Service administrator details Primary service administrator PLEASE NOTE: The primary service administrator will be the recipient of the Authenticator Cards and readers. Are you contactable out of normal office hours? Title Mr Mrs Miss Ms Other (please specify) If yes out of hours contact telephone number including area dialling code Last name Do you require report access? First names If yes memorable information required (maximum 15 characters Job title User name (the name you used when you registered for the Payment BACS service) Office contact telephone number including area dialling code Telephone Mobile (If available) Fax (If available) This field must be completed. Your application reference number (ARN) (Displayed on the final screen of the online application process) E-mail address (if you have one) Signature Exceptions contact? For bank use only Contact ID 5.2 Secondary service administrator Title Mr Mrs Miss Ms Other (please specify) Are you contactable out of normal office hours? Last name If yes out of hours contact telephone number including area dialling code First names Do you require report access? Job title If yes memorable information required (maximum 15 characters Office contact telephone number including area dialling code Telephone Mobile (If available) This field must be completed. Your application reference number (ARN) (Displayed on the final screen of the online application process) Fax (If available) E-mail address (if you have one) Signature Exceptions contact? PLEASE NOTE: If a replacement or additional service administrator is required, please use the additional or replacement service administrator form which can be downloaded from our website. For bank use only Contact ID Page 6 of 10

6 6.1 Direct Debit operations AUDDIS operations Your organisation will need to complete AUDDIS testing stipulated by BACS and be set up by them for live AUDDIS operations before submitting Direct Debit Instructions (DDIs) or collecting payments. Please provide an example of a payment reference used within field 10 of your collection records Are you operating a 10-day advance notice period to payers for changes to date, amount or frequency? Please provide an example of the reference to be used for DDIs If no what is the notice period How long will you retain a record of the instructions How long will you retain a record of a Dormant DDI What is the dormancy period between collections on your DDIs? Months M M Please advise how you verify customer identity Does your organisation amalgamate payments under a single DDI? 6.2 Paperless Direct Debits (if applicable) Your Service User Number must have live AUDDIS status to operate Paperless Direct Debit (PDD). Method of archiving? If your organisation intends to operate Paperless Direct Debit please tell us the commencement date and complete the rest of this section Commencement date Will you be using voice recording? How will you operate paperless Direct Debit? Digital TV indicator Internet Telephone keypad Telephone sign up Do you collect two or more payments under the same reference? Please advise us how you verify customer identity Will you operate the mandatory modulus checking at point of sale? 6.3 Direct Debit Principal contact details The Principal contact may be contacted regarding direct debit operational issues. Completion of this section is Mandatory. Contact name Contact customer name First line of address Second line of address City/Town County (UK only) Postcode Country (if not UK) E-mail address Fax number Telephone number Page 7 of 10

6 6.1 Direct Debit operations Direct Debit User Administrator contact details (can be same as principal contact) continued User administrator contact would normally be contacted for day to day queries regarding Direct Debits. Contact name Contact customer name First line of address Second line of address City/Town County (UK only) Postcode Country (if not UK) E-mail address Fax number Telephone number 7 Additional Authenticator Cards and readers Please note that your set-up fees include 6 cards and 2 readers. Specify the number of additional Authenticator Cards and readers you require. You can order up to a maximum of 30. For additional cards and readers you will be charged at the agreed rate. Additional Authenticator Cards Additional readers Page 8 of 10

8 Contractual agreement For the purpose of this agreement the term Bank is defined as: (please select one) Signed for and on behalf of our organisation by: Lloyds TSB Bank plc Lloyds TSB Offshore plc Lloyds TSB Scotland plc First authorised signatory Your full name (in block capitals) References to We and Us below are references to your organisation and all undertakings made on behalf of your organisation Your signature References to You and Your below are references to Lloyds TSB Bank PLC. 1 We confirm that the information given is correct. 2 We have a copy of The Originators Guide and Rules to the Direct Debit Scheme, and confirm that we will abide by them. 3 We agree to provide any copies of paperless Direct Debit scripts related marketing literature, AUDDIS Direct Debit instructions and any Direct Debit related marketing literature to You for approval before publication. 4 We agree to exercise adequate internal controls with regard to originating direct debits and AUDDIS instructions. 5 By signing and returning this form, we authorise the nominated service administrators to act on our behalf and in accordance with the terms of the Payments BACS Agreement and the Secure e-mail Agreement. This form must be signed in accordance with the Electronic Banking clause of your Bank Mandate or in accordance with a specific Electronic Banking board resolution. Please contact your Relationship Manager if you require a specimen Electronic Banking board resolution. By signing this Corporate Markets application you confirm that you (or the group of which you form part) have an annual turnover of 15m or more or that your relationship manager has confirmed this service is appropriate for you. Your position Second authorised signatory Your full name (in block capitals) Your signature Your position Please complete and return this form, by first class post, to the following address making sure you have included the application reference number: Lloyds TSB Electronic Banking Registrations, P.O. Box 72, Bailey Drive, Gillingham Business Park, Gillingham, Kent ME8 OLS. www.lloydstsbcorporatemarkets.com Please contact us if you would like this in Braille, large print or on audio tape. We accept calls made through RNID Typetalk We may monitor or record phone calls with you in case we need to check we have carried out your instructions correctly and to help improve the quality of our service. Lloyds TSB Corporate Markets is a trading name of Lloyds TSB Bank plc and Lloyds TSB Scotland plc. Lloyds TSB Bank plc Registered Office: 25 Gresham Street, London EC2V 7HN. Registered in England and Wales, no. 2065. Lloyds TSB Scotland plc Registered Office: Henry Duncan House, 120 George Street, Edinburgh EH2 4LH. Registered in Scotland, no. 95237. Authorised and regulated by the Financial Services Authority under numbers 119278 and 191240 respectively. Lloyds TSB Offshore Holdings Limited has registered the business name of Lloyds TSB Commercial in Jersey and has licensed it to Lloyds TSB Offshore Limited. Lloyds TSB Offshore Limited: PO Box 160, 25 New Street, St. Helier, Jersey, JE4 8RG. Registered in Jersey, number 4029. Regulated by the Jersey Financial Services Commission. The Isle of Man branch of Lloyds TSB Offshore Limited is licensed by the Isle of Man Financial Supervision Commission to take deposits and carry on investment business and is registered with the Insurance and Pensions Authority in respect of General Business. The Guernsey branch of Lloyds TSB Offshore Limited is licensed to conduct banking, investment and insurance business by the Guernsey Financial Services Commission under the Banking Supervision (Bailiwick of Guernsey) Law 1994, the Protection of Investors (Bailiwick of Guernsey) Law 1987 and the Insurance Managers and Insurance Intermediaries (Bailiwick of Guernsey) Law 2002 Please remember we cannot guarantee security of messages sent by e-mail. We aim to provide the highest level of customer service possible. If you do experience a problem, we will always seek to resolve this as quickly and efficiently as possible. If you would like a copy of our complaint procedures, please contact your relationship manager or any of our Corporate Banking offices. You can also find details on our website, at www.lloydstsbcorporatemarkets.com/contactus. Page 9 of 10

For bank use only Relationship Manager Organisation name (Group name, if not part of a group enter the registered name to which the service user number relates) Market sector: Relationship Manager s name Business Corporate Offshore Relationship Manager s office CRISP Customer ID (Corporate) Relationship Manager s contact telephone number including area dialling code or BIT Party ID (BB and Offshore) Located via Bit Customer File Profile Relationship Manager s e-mail address Market segment Bank legal entity: England & Wales Scotland Guernsey Isle of Man Jersey Relationship Manager s stamp I confirm that the appropriate level of Sanction has been obtained for this customer to be accepted into the Direct Debiting Scheme. I confirm that I will inform Group Operations of any changes required without delay. I understand that failure to do so may result in a delay to the processing of future transmissions. Relationship Manager s signature Ongoing KYC checks required? If yes you will be advised of any new users who register to use the service in future, to enable the necessary KYC checks to be undertaken. For bank use only Account holding branch I confirm that the customer details and signatures are correct and in accordance with the Electronic Banking clause of the Bank Mandate. I confirm that we are undertaking the necessary branch procedures to permit the customer to become a BACS user in due course. Branch stamp Manager s signature For bank use only Account holding branch BIP input carried out by ID & V process completed by BIP input checked by BIP organisation ID ID & V process completed by BIP input date BIP check date Set up date Page 10 of 10