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STATE DISBURSEMENT UNIT Customer Service: (877) 225-7077 |
DIRECT DEPOSIT AUTHORIZATION AGREEMENT
I, hereby authorize the State
Disbursement Unit, (SDU) to initiate credit entries for deposit of child support
payments
and if necessary, to initiate debit entries and adjustments for any
credit entries made in error to my account at the
Depository Institution named
below.
Account Type
(check one)
Checking Account
Name and Location of Bank Name of bank Bank Routing Number 9-digit routing number Bank Account Numbero This authorization is to remain in full force and
effect until the SDU has received written notification from me of its Full Name: Daytime Phone Number: List all the docket numbers to
which direct deposit authorization agreement will apply: Docket Number Issuing County _____________________________________________ __________________________ Signature (required to validate this request) Date Please fax the completed form
with the above referenced information to (630) 221-2312 or mail to the Illinois
State Disbursement
To receive notification on the status of your direct deposit application via a text message or an email from the State Disbursement Unit please provide the requested information below with your preferred method of notification. Mobile phone number: __________________ Email: ________________________________ (Standard Text Messaging rates may apply) (Please print and write clearly) Preference (Circle One): Text Message Email Message If both mobile phone number and email address are provided but no preference is indicated the notification method will default to email.
Savings Account (Contact
your bank to obtain the bank routing number and savings account number)
termination in such time and in such manner as to afford the SDU and the Bank a
reasonable opportunity to act on it.
Unit at the above address.
The process to establish this service requires approximately 2-4
weeks. In the interim, checks will
continue to be mailed to your address.