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The form requires completion of taxpayer and account-holder details, including routing and account numbers, deposit account type (checking or savings), and supporting attachments such as a voided check or bank letter with required account identifiers. It includes authorization language granting YMS Management Associates, Inc. authority to initiate credits, accept and credit entries, and handle erroneous deposits via debiting up to the original amount.",{"@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/direct-deposit-authorization-form-288432/288432/",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/direct-deposit-authorization-form-288432/288432.png","ImageObject",442,249,{"name":88,"@type":89},"Mason","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":79},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"How should the completed form be returned?","Question",{"text":108,"@type":109},"Return it by email, USPS mail, or fax. The instructions specify email to DFS.VPCS@acs.nyc.gov, mailing to the listed PO Box, or fax to 212-313-3115 with provider notice when sent.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What attachments are required for a checking or savings account?",{"text":113,"@type":109},"For a checking account, attach only a void check or a bank letter/specification sheet. For a savings account, attach only a bank letter or specification sheet that includes the taxpayer’s name, routing, and account number.",{"name":115,"@type":106,"acceptedAnswer":116},"What authorization does the signature provide?",{"text":117,"@type":109},"The signer authorizes YMS Management Associates, Inc. to initiate credit entries to the indicated bank account and authorizes the bank to accept and credit those entries. It also allows debiting the account if funds are deposited in error, up to the original erroneous amount.","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},288432,1790092666,{"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":79,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"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":4},5909887256941,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","Direct Deposit Authorization Form Return [by Email:](by Email: DFS.VPCS@acs.nyc.gov)[ DFS.VPCS@acs.nyc.gov](by Email: DFS.VPCS@acs.nyc.gov) OR  \nReturn by USPS Mail: YMS  \nPO Box 968  \nPeck Slip Station  \nNew York, NY 10272-0968  \nReturn By Fax: 212-313-3115 (provider must call to advise when fax is sent)  \nInstructions:  \n1. Complete all the information below. Sign and date the bottom of the form. (Note: only fill this OR the payment card application out – do not submit both)  \n2. Make a copy of this form for your records.  \n3. The account used for direct deposit must be in the taxpayer’s name. To use a checking account, attach a voided check with the taxpayer’s name imprinted on it, bank letter or specification sheet. To use a savings account, attach a bank letter or specification sheet that indicates the taxpayer’s name, routing, and account number. All bank letters must be signed and stamped by the bank representative.  \n4. Return this form, with attachments, to the email or USPS mail address printed above.  \nProvider ID Number:   SS/EIN Number:    \nLast Name (print):   First Name (print):    \nAddress:    \nAccount in the name of:    \nDepository (Bank) name:    \nDepository (Bank) address:     \nBank Transit (Routing) Number:    \n(Can be found at the bottom of your check to the left of your account number)  \nCheck and complete the appropriate section.  \n  Checking Account: 100% Account Number:    \n(Attach only a void check, bank letter, or specification sheet.)  \n  Savings Account: 100% Account Number:    \n(Attach only a bank letter or specification sheet.)  \nSignature:   Date:    \nCo-Signature:   Date:    \n(If Joint Account)  \nI hereby authorize YMS Management Associates, Inc. (hereinafter COMPANY) to deposit any amounts owed me by initiating credit entries to my account at the financial institution (hereinafter BANK) indicated above. Further, I authorize BANK to accept and to credit any credit entries indicated by COMPANY to my account. In the event that COMPANY deposits funds erroneously into my account, I authorize COMPANY to debit my account for an amount not to exceed the original amount of the erroneous credit.  \nThis authority is to remain in full force and effect until COMPANY has received written notification from me to terminate in such time and in such manner as to afford COMPANY and BANK a reasonable time to act on it.  \nDate Signed:   Signature:","cbCaibicxeZORlRM","https://ap.wps.com/l/cbCaibicxeZORlRM","pdf",174728,"English","# Return and Contact Options\n## Email, USPS Mail, and Fax Instructions\n# Account and Attachment Requirements\n## Checking vs. Savings Details\n# Authorization Terms and Sign-Off\n## Signature, Date, and Co-Signature (Joint Accounts)","[{\"question\":\"How should the completed form be returned?\",\"answer\":\"Return it by email, USPS mail, or fax. The instructions specify email to DFS.VPCS@acs.nyc.gov, mailing to the listed PO Box, or fax to 212-313-3115 with provider notice when sent.\"},{\"question\":\"What attachments are required for a checking or savings account?\",\"answer\":\"For a checking account, attach only a void check or a bank letter/specification sheet. For a savings account, attach only a bank letter or specification sheet that includes the taxpayer’s name, routing, and account number.\"},{\"question\":\"What authorization does the signature provide?\",\"answer\":\"The signer authorizes YMS Management Associates, Inc. to initiate credit entries to the indicated bank account and authorizes the bank to accept and credit those entries. It also allows debiting the account if funds are deposited in error, up to the original erroneous amount.\"}]","Direct Deposit Authorization Form | PDF",1789633479]