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DIRECT DEPOSIT AUTHORIZATION FORM (Rev. 08/2018) Return to: CCAP Provider Certification P.O. Box 2510 Baton Rouge, LA 70821 FAX: (225) 3424180Please TYPE or Legibly PRINT all information in INK. Section

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How to fill out direct deposit authorization form

01

Obtain a direct deposit authorization form from your employer or financial institution. It may be available online or you may need to visit a branch in person.

02

Fill out personal information section: Provide your full name, address, social security number, and contact details.

03

Fill out banking information section: Enter your bank name, branch address, routing number, and account number. Make sure to double-check the information for accuracy.

04

Select deposit type: Indicate whether you want your entire paycheck to be deposited into your account or a specific amount or percentage.

05

Sign the form: Read the terms and conditions, sign and date the form. It may require additional signatures such as a supervisor or HR representative.

06

Submit the form: Return the completed form to your employer or financial institution through the designated method (e.g., in person, mail, email).

07

Follow up: Confirm with your employer or financial institution that the form has been received and processed. It may take a few pay cycles for the direct deposit to become active.

Who needs direct deposit authorization form?

01

Anyone who wants their income to be deposited directly into their bank account can benefit from a direct deposit authorization form. This includes employees who want their paychecks automatically deposited, recipients of benefits or pensions, and individuals who receive recurring payments such as royalties or dividends.

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What is direct deposit authorization form?

Direct deposit authorization form is a form used to authorize an employer or financial institution to deposit funds directly into an individual's bank account.

Who is required to file direct deposit authorization form?

Employees who wish to receive their salary or payments directly into their bank account are required to file a direct deposit authorization form.

How to fill out direct deposit authorization form?

To fill out a direct deposit authorization form, an individual will need to provide their bank account information, such as account number and routing number, as well as their personal information.

What is the purpose of direct deposit authorization form?

The purpose of a direct deposit authorization form is to streamline the payment process and ensure that funds are deposited directly into the intended bank account.

What information must be reported on direct deposit authorization form?

Information such as the individual's name, bank account number, routing number, and the amount to be deposited must be reported on a direct deposit authorization form.

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