AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSIT OF CHILD CARE PROVIDER PAYMENTSElectronic Funds Transfer • October 10th, 2017
Contract Type FiledOctober 10th, 2017This form authorizes Truist, as the official Financial Agent of ELCPH 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 ELCPH. I agree to resubmit this form immediately if this bank or bank account changes or if I decide to stop direct deposit.