Get Wsib Direct Deposit Form

Filling out the WSIB Direct Deposit Form online is a straightforward process that ensures your banking information is correctly updated for direct deposits. This guide will walk you through each section of the form to assist you in completing it accurately and efficiently.

Follow the steps to complete the form correctly

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your legal registered name in the designated field. This should match the name associated with your WSIB/TELUS Health Provider Number.
3. Next, input your WSIB/TELUS Health Provider Number. This number is required for processing your direct deposit authorization.
4. Fill in your postal address, including the city, province, and postal code. Ensure all information is accurate and up to date.
5. Provide your telephone and fax numbers in the specified fields. This information is necessary for any follow-up communication.
6. Enter your email address. This will be used for confirmation of any changes to your bank account information.
7. Indicate the effective date of the changes you are requesting by filling out the appropriate field.
8. In the Banking Information section, provide the name and address of your bank. Include the bank number, transit number, and account number.
9. Complete your bank's phone and fax numbers as needed for any communication regarding your account.
10. Sign the form, ensuring that your printed name and title are clearly indicated. The date of signing should also be included.
11. If applicable, a signature from the clinic owner is needed when switching accounts as outlined in the notes on the form. Provide their printed name, title, and date.
12. Affix a pre-printed void cheque where indicated, or include a signed letter from your bank if a void cheque is not available.
13. Finally, ensure you save any changes you have made, and then download, print, or share the completed form as necessary. Be sure to return the signed form to TELUS Health via fax or mail.

Complete your WSIB Direct Deposit Form online today to ensure timely updates to your banking information.