State Of Florida Disbursement Unit Direct Deposit Information Form {CGD102}

STATE OF FLORIDA DISBURSEMENT UNIT DIRECT DEPOSIT INFORMATION FORM. This form is used by individuals to authorize the Florida State Disbursement Unit to automatically deposit their child support payments into their bank account. The form requires the individual's personal information such as name, case number, Social Security number, address, and bank details including bank name, city, state, routing number, and either checking or savings account number. The individual must choose between direct deposit to a checking or savings account and attach a voided check for a checking account or submit a direct deposit slip filled out by the bank for a savings account. Prepaid cards are not accepted for direct deposit. By signing the form, the individual authorizes the full amount collected to be deposited into their account and authorizes the bank to accept the deposit and make adjustments to their account as needed. The authorization remains in effect until revoked in writing or canceled by the bank. The individual also agrees that the bank will have no responsibility for personal checks written against the account, and the account will be administered according to the bank's rules and regulations. Once completed, the form is to be mailed to the Clerk of the Circuit Court, Hillsborough County, Central Governmental Depository, at the provided address in Tampa, Florida. www.FormsWorkflow.com