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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'PERSONAL INFORMATION' section. Enter your name, Social Security number, daytime phone number, and mailing address. If you are changing your address, check the appropriate box.
In the 'ACTION AND ACCOUNT TYPE' section, select whether you are enrolling for the first time, canceling direct deposit, or changing your account. Choose the type of account for direct deposit.
Complete the 'FOR COMPLETION BY PAYEE' section by providing your financial institution's name, account number, branch details, and telephone number. Remember to attach a voided printed check.
Fill out the 'FOR COMPLETION BY FINANCIAL INSTITUTION' section accurately with required information including bank transit routing number and representative's signature.
Finally, sign and date in the 'CERTIFICATION AND AUTHORIZATION' section to confirm your understanding and authorization of payments to be deposited into your designated account.

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