Disbursement Authorisation Form Template for England and Wales

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Key Requirements PROMPT example:

Disbursement Authorisation Form

"I need a Disbursement Authorisation Form for our London office that requires dual authorization for payments over £50,000, with specific provisions for international wire transfers and compliance with UK banking regulations."

Document background
The Disbursement Authorisation Form is a critical financial control document used in England and Wales to manage and track payment approvals. It is implemented when organizations need to maintain strict control over fund disbursements, ensure compliance with internal policies, and meet regulatory requirements. The form includes essential information such as payment amount, beneficiary details, authorization signatures, and payment purpose. It serves as both a control mechanism and an audit trail, helping organizations demonstrate compliance with financial regulations and corporate governance standards.
Suggested Sections

1. Authorisation Details: Payment amount, currency, and beneficiary information

2. Payment Instructions: Bank details and routing information

3. Authoriser Information: Details of person(s) authorising the disbursement

4. Purpose of Payment: Description of what the disbursement is for

5. Verification Requirements: Authentication and approval requirements

Optional Sections

1. Supporting Documentation: Use when additional documentation is required to support the disbursement

2. Multiple Authoriser Section: Include when multiple signatures are required

3. Cost Center Information: Use when internal accounting allocations are needed

4. Currency Exchange Details: Include for international payments requiring currency conversion

Suggested Schedules

1. Invoice Copy: Supporting documentation for the payment

2. Authority Matrix: Reference document showing approval limits and authorities

3. Bank Details Confirmation: Verification of beneficiary bank details

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant Industries
Relevant Teams
Relevant Roles
Industries

Financial Services and Markets Act 2000 (FSMA): Primary legislation for financial services regulation in the UK, particularly relevant if the disbursement involves regulated financial activities

Payment Services Regulations 2017: Governs payment services and electronic money transactions, implementing EU Payment Services Directive (PSD2) requirements in UK law

Money Laundering Regulations 2017: Sets out anti-money laundering requirements and Know Your Customer (KYC) considerations for financial transactions

Data Protection Act 2018 and UK GDPR: Legislation governing the handling of personal data, including privacy and data security requirements in financial transactions

Electronic Communications Act 2000: Regulates electronic communications and signatures, particularly relevant if the form will be used electronically

FCA Regulations: Financial Conduct Authority regulations and handbook requirements for regulated financial activities

Companies Act 2006: Primary legislation governing corporate entities, including authority and signing requirements for company transactions

Fraud Act 2006: Legislation setting out fraud prevention measures and authentication requirements for financial transactions

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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