Get Ach Form For Colorado Providers For Direct Deposit ... - Larimer

The ACH form for Colorado providers is essential for users looking to set up direct deposit payments through the Colorado Department of Human Services. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently.

Follow the steps to complete your ACH form for direct deposit.

1. Press the ‘Get Form’ button to access the form and open it in your chosen editor.
2. Begin by filling out the 'County Use Only' section, which requires your provider number based on the type of service you offer, such as Child Care or Nursing Home.
3. Provide your personal information in the 'Your Name' field, followed by your address, city, state, and ZIP code. Ensure accuracy in all entries.
4. Input your telephone number, including the area code, along with your Federal Employer Identification Number (E.I.N.) or Social Security Number as applicable.
5. If you are updating your banking information, check the appropriate box and specify the effective date for this change.
6. Indicate the type of account you will be using by selecting either 'Checking' or 'Savings', and attach a voided check or deposit slip as required.
7. Fill in your bank account number, name of the bank, and transit/routing number — confirming the accuracy of this information with your bank.
8. Provide a telephone number for your bank, including the area code.
9. Sign the form where indicated and include the date before submission. Return the completed form to the designated address for Larimer County DHS.

Complete your ACH form online today to ensure timely direct deposits!