Get Request For Appointed Representative's Direct Payment Information

This guide provides clear instructions on how to fill out the Request For Appointed Representative's Direct Payment Information form online. Whether you are an attorney or a non-attorney eligible for direct payment, following these steps will help ensure that your application is completed accurately and efficiently.

Follow the steps to complete the form online

1. Press the ‘Get Form’ button to obtain the Request For Appointed Representative's Direct Payment Information form and open it for editing.
2. Begin by entering your personal information, including your middle name, first name, last name, suffix, Social Security Number, and mailing address, which should match your tax documents.
3. In the Professional Information section, select whether you are registering as an attorney or a non-attorney eligible for direct payment by checking the appropriate box.
4. If you selected attorney, provide the name and principal location of one court to which you have been admitted to practice law and are currently in good standing.
5. Move to the Business Affiliation section and outline your existing business affiliations related to your role as an appointed representative. Indicate if you are a sole proprietor, partner, or salaried employee.
6. For each business affiliation, enter the required details including the Employer Identification Number (EIN), business name, and notice/payment address, if different from the tax mailing address.
7. Indicate your payment preference for the affiliation by selecting either check or direct deposit. If opting for direct deposit, confirm that you are the owner or co-owner of the account, and provide the financial institution’s name, account type, routing number, and account number.
8. Complete the Perjury Statement by declaring that the information provided is true to the best of your knowledge. Print your name, sign, and date the form.
9. Finally, review all information for accuracy, save your changes, and choose to download, print, or share the completed form as necessary.

Start filling out your form online today to ensure timely processing of your request.