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In order to expedite shipping and installation of your Positive Pay Application please complete this questionnaire. Should you need assistance, please call inFORM Decisions. Additionally, please fax back the bank’s required file format for positive pay and login and password information for the testing portion of the transmission. The bank should be able to supply this information for you. Bank Information Bank Name:__________________ Contact Name for file format:_____________________ Voice Phone:_____________ Contact Name for file transmission:_______________ Voice Phone:_____________ Do you currently have a Bisync Modem (Y/N)? ______ Will the modem be used exclusively for bank transmissions (Y/N)? ___ Test Transmission number:_______________ Test Baud Rate:_______ Production transmission number:__________ Production Baud Rate:_______ Does the bank require the file to be sent via ftp? ______ FTPS? ____ SFTP? ____ Schedule date for implementing Positive Pay:____/____/____ Is a prescheduled time required for sending file transmission (Y/N)? ______ Scheduled Transmission Time: ____________ Is a fax of a transmission data required (Y/N)? _____ Company Information Company Technical Contact: ________________ Voice Phone: ________________ Company Financial Contact: ________________ Voice Phone: ________________ InFORM Decisions version : ________________ OS/400 ver : ________________ What accounting software is in use on your AS/400? ________________ How many bank accounts will be used for reporting Positive Pay Information? _____ Account Number Company Number Division Number GL Number ____________________ _______________ _______________ ______________________________________________ ____________________ _______________ _______________ ______________________________________________ ____________________ _______________ _______________ ______________________________________________ ____________________ _______________ _______________ ______________________________________________ Will you be transmitted cancelled and/or voided check information to the bank (Y/N)? ____ Will you be expecting or does the bank offer a check reconciliation file (Y/N)? _____ Please include any other information or questions that you have about Positive Pay Implementation in the space provided below:
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