Roche Canada HCP Banking information

Hoffmann-La Roche Limited/Limitee (Roche Canada) Vendor Electronic Funds Transfer (EFT) Request [Fran�ais]

1. Introduction
Welcome to Hoffmann-La Roche Limited (“Roche”). We require certain banking information from you to set up an account for the purpose of making electronic fund transfer (“EFT”) payments to you or your company. By submitting your banking details through our form, you agree to these terms and conditions.

2. Use of Information
Your banking information submitted through this website will only be used for the following purposes:

Setting up your payment account.
Processing payments for grants, sponsorships, donations or contracted services.
Managing transactions and maintaining and administering your account with us.
Contacting you in relation to any of the above.

3. Data Protection and Privacy
We are committed to protecting your personal and financial information. The banking information you submit through this form will be:

Stored securely and accessed only by authorized personnel.
Not shared with third parties, except as required by law or necessary for the provision of our services (e.g., banking institutions for payment processing).
Protected in accordance with applicable data protection laws and our Privacy Policy.

VENDOR OR/PAYEE INFORMATION:

Individual

Corporation

Both Individual and Corporation

Business/Trade Name:

Payee Name:

Postal Code:

Telephone Number:

Email Address for remittance advice:

BANK ACCOUNT INFORMATION (Please attach a void cheque or bank confirmation)

To ensure accuracy and avoid payment delays, you must upload a copy of a void cheque or a bank confirmation here.
Max. file size 5Mb

By submitting your banking information, you:

Consent to the collection, use, and storage of your information as outlined in these terms and conditions.

Acknowledge that you have the right to withdraw your consent at any time, and to have any information submitted through this form corrected or deleted. However, please be aware that withdrawing consent may affect our ability to make payments to you or your company.

Represent that the information you are submitting is correct and true and, in the event you are submitting this form on behalf of a corporation, represent that you have the authority to act on behalf of the corporation.

Title:
Email:
Phone:
Comment:
Date: December 22, 2024
If you have any questions about these terms and conditions or how we handle your information, please contact us at: [email protected]



These terms and conditions shall be governed by and construed in accordance with the laws of Ontario, without regard to its conflict of law provisions. Roche Canada Legal terms