Get Authorization For Deposit Of Recurring Payments - Dnrintra.state.il.us

This guide provides clear instructions on how to complete the Authorization For Deposit Of Recurring Payments form online. By following the steps outlined below, you will ensure that your recurring payments are deposited directly into your designated financial account.

Follow the steps to successfully complete the form online.

1. Press the ‘Get Form’ button to access and open the Authorization For Deposit Of Recurring Payments form.
2. Enter your Social Security Number (Taxpayer Identification Number) in the designated field. Ensure that you do not include any dashes.
3. Type or print your full name in the Payee Name section. This should be the name associated with the payment.
4. Specify the Name of the Program Agency in the provided space.
5. Input your mailing address, including any apartment or P.O. Box number, city, state, and zip code.
6. In the designated area, type or print your full name again to certify the information is correct, sign the form, and include the date.
7. Provide your work area code and telephone number to ensure you can be reached if necessary.
8. Fill in the Name of the Financial Institution where your account resides.
9. List the Financial Institution Area Code and Telephone Number.
10. Enter the Branch Address, including city, state, and zip code, where your financial institution is located.
11. Type or print the 9-digit Financial Institution Routing Number from your checks.
12. Fill in your Payee Account Number found on your checks.
13. Select the type of account for receiving payments by indicating either ‘Checking’ or ‘Savings’.
14. Attach a voided check to the form and ensure to submit it to your agency’s payroll clerk for processing.
15. Once you have completed all fields, review your information for accuracy before saving changes, downloading, or sharing the form as needed.

Complete your documents online today for fast and effective management of your recurring payments.