Get Nc Dss 5023 2020-2025

The NC DSS 5023 is the Direct Deposit Enrollment Authorization Form, designed to facilitate the electronic payment of benefits such as Special Assistance and Refugee Cash Assistance. This guide will walk you through the steps to complete the form online effectively.

Follow the steps to complete your Direct Deposit Enrollment Authorization Form online.

1. Click ‘Get Form’ button to access the form and open it for editing.
2. In Section 1, provide the name of the case head (last, first, middle initial) along with their Social Security Number (SSN) and telephone number.
3. If the payee is different from the case head, enter the payee’s name and SSN in the appropriate fields.
4. Select the type of account you are using (Checking or Savings) and provide the name(s) on the account.
5. Fill in the bank name, account number, date of birth, and preferred language of the payee. Also, add the mailing address, including street, city, state, and zip code.
6. Attach a voided or cancelled check for the checking account. If using a savings account and no voided check is available, you will need to have the bank complete Section 2.
7. Sign and date the form in the designated areas. If the payee is different from the case head, ensure they also print their name and sign.
8. Review all entered information for accuracy. Once confirmed, save your changes.
9. Finally, download or print the completed form and return it to your caseworker. Keep a copy for your records.

Don't delay; complete your NC DSS 5023 online today for efficient processing of your direct deposit.