Common Contracts
1 similar Direct Deposit Authorization Agreement contracts
Early Learning Coalition OfDirect Deposit Authorization Agreement • June 26th, 2013
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.
