[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-287196-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-287196-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","direct-deposit-authorization-form-direct-deposit-authorization-form","DIRECT DEPOSIT AUTHORIZATION FORM - Direct Deposit Authorization Form","","Direct Deposit Authorization Form for Community Living Network (CLN) to authorize automatic payroll deposits into a checking or savings account. The form supports three actions—new, change, or cancel—and explains direct deposit options including full deposit (100%) or split deposits into two accounts. It specifies requirements for voided checks for checking accounts and written verification of account and routing numbers for savings accounts, plus timelines for setup or cancellation and notice by email.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/direct-deposit-authorization-form-direct-deposit-authorization-form/287196/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/direct-deposit-authorization-form-direct-deposit-authorization-form/287196.png","ImageObject",442,249,{"name":42,"@type":43},"Hazel","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-09-27","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"How do I choose between new, change, or cancel on the direct deposit form?","Question",{"text":63,"@type":64},"Select one box for NEW, CHANGE, or CANCEL and complete the entire form.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What verification is required for a checking account direct deposit?",{"text":68,"@type":64},"Write VOID on an unused check and submit a copy or notice showing the required information. Deposit slips or personal bank statements are not accepted.",{"name":70,"@type":61,"acceptedAnswer":71},"What steps and timelines apply when setting up or canceling direct deposit?",{"text":72,"@type":64},"CLN deposits payroll automatically into your checking or savings account. Initial set-up may take 2–3 weeks, and cancellations may also take 2–3 weeks; all cancellations must be submitted in writing.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},287196,1789993625,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":4},137441390410,"https://ap-avatar.wpscdn.com/avatar/2000252f4ab5702993?_k=1776741390130283984","DIRECT DEPOSIT AUTHORIZATION FORM  \n  NEW   CHANGE   CANCEL  \n(Check one box above and complete the entire form.)  \n(Please Print Information Below)  \n\n| A | B |  | C |  | D |  | E |  | F |  | G |  | H |  | I |  | J |  | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| 1 | 2 | 3 |  | 4 |  | 5 |  | 6 |  | 7 |  | 8 |  | 9 |  | 0 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\nLast Name  \nPhone Number  \nFirst Name  \nLast 4 digits of Social Security  \nDirect deposit is available to anyone who wants it. You have a couple of options under this benefit:  \n1. Full deposit (100%) of your paycheck into one account.  \n2. Deposit into two (2) accounts; a specified percentage into one account with the remaining percentage going into a second account.  \nFor example, 80% could be deposited into a checking account, and the balance (20%) deposited into a savings account. Please note that the 2 accounts can be from two different banks if you desire.  \nFor a CHECKING account:  \nWrite VOID on an unused check and submit a copy or notice that shows required information. Deposit slips or personal bank statements are not accepted.  \nFor a SAVINGS account:  \nContact your bank and obtain written verification of your account and routing numbers. Include that verification with this form.  \nWhen you apply for direct deposit, you authorize Community Living Network (CLN) to deposit your payroll automatically into your checking or savings account. Direct deposit may take 2-3 weeks for initial set-up. Likewise, it may take 2-3 weeks to cancel.  \n All cancellations must be submitted in writing.  \n Do not close your bank account without providing our office with sufficient notification; otherwise, your payment may be delayed.  \n Before payday you will receive your check stub via email. This also serves as your notice of deposit. The email comes from donotreply@communityalliance.com. Please check your spam folder if you do not receive your notice.  \n Community Living Network (CLN) is not held accountable for any overdraft fees that you may incur for using funds prior to their actual confirmed deposit and funds made available to you.  \n Community Living Network (CLN) is authorized to correct errors that may occur per MDOL rules. This authority remains in effect until we are notified in writing that you no longer want direct deposit.  \nI have read and understood the terms of direct deposit with Community Living Network (CLN) .  \nSignature  \nCLN:DD-2024 (Rev. 10-24) MS Word","cbCaibAkv10ypgUL","https://ap.wps.com/l/cbCaibAkv10ypgUL","pdf",394877,"English","# Section\n## Personal information\n## Direct deposit options\n## Checking account requirements\n## Savings account requirements\n## Authorization, timelines, and notices","[{\"question\":\"How do I choose between new, change, or cancel on the direct deposit form?\",\"answer\":\"Select one box for NEW, CHANGE, or CANCEL and complete the entire form.\"},{\"question\":\"What verification is required for a checking account direct deposit?\",\"answer\":\"Write VOID on an unused check and submit a copy or notice showing the required information. Deposit slips or personal bank statements are not accepted.\"},{\"question\":\"What steps and timelines apply when setting up or canceling direct deposit?\",\"answer\":\"CLN deposits payroll automatically into your checking or savings account. Initial set-up may take 2–3 weeks, and cancellations may also take 2–3 weeks; all cancellations must be submitted in writing.\"}]","DIRECT DEPOSIT AUTHORIZATION FORM - Direct Deposit Authorization Form | PDF",1789632008]