Common Contracts
1 similar Deposit Authorization Agreement contracts
Direct Deposit Authorization Agreement for Child Care ProviderDeposit Authorization Agreement • September 23rd, 2021
This form authorizes the Reimbursement agent to deposit child care provider payments directly into the bank account listed below and, if necessary, reverse any incorrect credit entries made in error related to the provider payments. I agree to resubmit this form immediately if this bank or bank account changes or if I decide to stop direct deposit.
