File lacounty gov sdsinter dpss 1067634 sample certificateofinsuranceandendorsementpage pdf 2026

1. Click ‘Get Form’ to open the document in the editor.
2. Begin with Section 1, where you will enter your Payee Name, Case Number, and Case Name if applicable. Ensure that all information matches your official documents.
3. Select the type of account (Checking or Savings) and fill in your address, Social Security Number/Taxpayer ID, and telephone number accurately.
4. In the Payee Certification section, review the authorization statement carefully before signing and dating it to confirm your understanding of the direct deposit process.
5. Proceed to Section 2 for your Depository Institution details. Fill in the institution's name, account holder names, address, account number, and routing number as required.
6. Ensure that a representative from your depository institution completes their certification by signing and dating this section.
7. Finally, review all entries for accuracy before saving or exporting your completed form for submission.

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