[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-288556-105":53,"doc-detail-288556-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","authorization-for-direct-deposit-form","Authorization for Direct Deposit - Form","","Authorization for Direct Deposit form for Baltimore Regional Housing Partnership to issue Housing Assistance Payments (HAP) only via direct deposit. Payee information, property rental address, and financial institution details are collected, including account type and routing number. The document provides options for new enrollment or change of authorization status, instructions to return the completed form by fax or email, and rules on cancellation, changes to the receiving institution, and account authorization responsibilities.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/authorization-for-direct-deposit-form/288556/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/authorization-for-direct-deposit-form/288556.png","ImageObject",442,249,{"name":88,"@type":89},"Marry","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What is the purpose of this direct deposit authorization form?","Question",{"text":108,"@type":109},"It authorizes Baltimore Regional Housing Partnership to deposit Housing Assistance Payments (HAP) to the payee’s account at the named financial institution via direct deposit/ACH.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"How do I submit the completed form?",{"text":113,"@type":109},"Return the completed form by fax to 410-752-3770 or email to DDEPOSIT@BRHP.ORG.",{"name":115,"@type":106,"acceptedAnswer":116},"How does cancellation or a change of receiving financial institution work?",{"text":117,"@type":109},"The authorization remains effective until cancelled by the payee with written notice, or due to the payee’s death/legal incapacity. For a change in receiving financial institution, the payee must complete a new AUTHORIZATION FOR DIRECT DEPOSIT form and BRHP must be notified.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},288556,1790099901,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":135,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":61,"update_tm":139,"read_time":9},5909892079670,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","| AUTHORIZATION FOR DIRECT DEPOSIT |  |\n| --- | --- |\n| Baltimore Regional Housing Partnership |  |\n| THE BALTIMORE REGIONAL HOUSING PARTNERSHIP WILL ISSUE HOUSING ASSISTANCE PAYMENTS BY DIRECT DEPOSIT ONLY. TO SIGN UP FOR DIRECT DEPOSIT, THE PAYEE MUST FILL IN THE INFORMATION REQUESTED AND ATTACH A BLANK VOIDED CHECK TO THIS FORM . |  |\n| RETURN THE COMPLETED FORM BY FAX TO 410-752-3770 OR EMAIL TO DDEPOSIT@BRHP.ORG. |  |\n| Authorization Status |  |\n| ☐ New | ☐ Change |\n| Payee Information |  |\n| Payee Name |  |\n\nAddress  \n\n| City | State | Zip Code |\n| --- | --- | --- |\n\nSocial Security \\# or Federal Tax ID  \n\n| Phone | Cell Phone |\n| --- | --- |\n\nEmail  \nProperty Information  \nRental Property Address  \n\n| City | State | Zip Code |\n| --- | --- | --- |\n\nFinancial Institution Information  \nName  \nAddress  \n\n| City | State | Zip Code |\n| --- | --- | --- |\n\nType of Account ☐ Checking ☐ Savings  \n\n| 9 Digit Routing Number |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n\nAccount Number  \nREV121318  \nBaltimore Housing Mobility Program | 20 South Charles Street, Suite 801 | Baltimore, Maryland | 21201  \nAUTHORIZATION FOR DIRECT DEPOSIT  \nCancellation  \nThe agreement represented by this authorization remains in effect until cancelled by the payee by written notice to BRHP in such time and in such manner as to afford the voucher program and the financial institution  \na reasonable opportunity to act upon it, or by the death or legal incapacity of the payee. Upon  \ncancellation by the payee, the payee should notify the receiving financial institution that they are doing so. The financial institution may cancel the agreement represented by this authorization by providing the payee a written notice in advance of the cancellation date. The payee must immediately advise the BRHP if the financial institution cancels the authorization.  \nChanging Receiving Financial Institution  \nThe selected financial institution will continue receiving the payee’s direct deposit, until the payee notifies BRHP regarding a change of financial institution for direct deposit. To effect this change, the payee will complete anew AUTHORIZATION FOR DIRECT DEPOSIT form. The change shall take effect in such time and in such manner as to afford the voucher program and the financial institution a reasonable opportunity to act upon it.  \nFalse Statements or Fraudulent Claims  \nFederal law provides a fine of not more than $10,000 or imprisonment for not more than five years or both for presenting a false statement or making a fraudulent claim. BRHP may debar an owner or management agent who violates this law from future participation in the Program.  \nAuthorization  \nI hereby authorize BRHP to deposit my Housing Assistance Payments (HAP) to my account at the financial institution named above. I acknowledge that the origination of ACH transactions to my account must comply with the [provisions of U](provisions of U.S. law)[.](provisions of U.S. law)[S](provisions of U.S. law)[.](provisions of U.S. law)[ law](provisions of U.S. law).  \nAcceptance of direct deposit of payments certifies compliance with the HAP contract. By accepting direct deposit of Housing Assistance Payments, the payee certifies that any unit(s) assisted under the HAP Contract isin full compliance with contract terms.  \nRequired Signature  \nI certify that I am entitled to the payment identified above, and that I have read and understood the back of this form. In signing this form, I authorize BRHP to send my payment to the financial institution named above for deposit to the designated account.  \n______________________________________________________________________________  \nSignature of Authorized Person Date  \nThe Baltimore Regional Housing Partnership is an equal housing opportunity provider.","cbCaibgAg8Fdk1k3","https://ap.wps.com/l/cbCaibgAg8Fdk1k3","pdf",283044,"English","# Authorization for Direct Deposit\n## Authorization Status\n## Payee and Property Information\n## Financial Institution Information\n## Cancellation and Changes\n## False Statements or Fraudulent Claims\n## Authorization and Required Signature","[{\"question\":\"What is the purpose of this direct deposit authorization form?\",\"answer\":\"It authorizes Baltimore Regional Housing Partnership to deposit Housing Assistance Payments (HAP) to the payee’s account at the named financial institution via direct deposit/ACH.\"},{\"question\":\"How do I submit the completed form?\",\"answer\":\"Return the completed form by fax to 410-752-3770 or email to DDEPOSIT@BRHP.ORG.\"},{\"question\":\"How does cancellation or a change of receiving financial institution work?\",\"answer\":\"The authorization remains effective until cancelled by the payee with written notice, or due to the payee’s death/legal incapacity. For a change in receiving financial institution, the payee must complete a new AUTHORIZATION FOR DIRECT DEPOSIT form and BRHP must be notified.\"}]","Authorization for Direct Deposit - Form | PDF",1789633627]