Child Support Direct Deposit Authorization

Child Support Direct Deposit Authorization
Authorize your child support payments to be deposited directly into your bank account. Please complete all required fields accurately.
Payee Full Name
First NameLast Name
Payee Email Address
example@example.com
Payee Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Child(ren) Name(s)
Case Number or Payment Reference
Financial Institution Name
Type of Account
Last 4 Digits of Your Account Number
Routing Number (Last 4 Digits Only)
Upload a Voided Check or Bank Letter (optional)
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