Payments

ACH Payment Authorization

Authorize Peridot Assist to draft your scheduled payment-plan installments automatically from your bank account.

For clients Print & sign (PDF)

If you've set up a payment plan with Peridot Assist, this form authorizes us to draft each installment automatically from your bank account on the agreed schedule. To complete it:

  • Download the PDF below and fill in your plan details and bank information. If your project manager sent you a pre-filled copy, use that one — your plan details are already entered.
  • Sign and date it (the account holder must sign).
  • Return it to your project manager, by email to build@peridotassist.com, or by secure upload to your project file. Please don't send bank details over unsecured channels.

Nothing is drafted until we receive your signed authorization, and you can cancel at any time with three business days' written notice.

ACH Payment Authorization Form

One page · PDF · print, sign, and return

Download the form (PDF)

Prefer to view it first? Open it in your browser.

Trouble with the form? Call (770) 284-5353 or email build@peridotassist.com and we'll send it to you directly.