[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-288713-105":53,"doc-detail-288713-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","employee-direct-deposit-authorization-form-state-of-louisiana","Employee Direct Deposit Authorization Form - State of Louisiana","","This document is the official Employee Direct Deposit Authorization Form for the State of Louisiana, specifically designed for managing reimbursement account transactions. It outlines the necessary steps for employees to securely provide their banking information, including the requirement for a routing transit number and account number, alongside a mandatory voided check to ensure accurate processing. The form includes clear instructions on how to submit the completed document via fax, email, or postal mail to DataPath Administrative Services. By signing this agreement, the employee authorizes the initiation of credit entries for reimbursements and permits necessary adjustments for any potential errors in credit transactions, ensuring a robust and reliable system for financial disbursements. The inclusion of a sample voided check serves as a visual guide to prevent common errors, such as using deposit slips, thereby streamlining administrative workflows and maintaining strict accuracy in banking records for payroll or reimbursement purposes within the state's financial framework.",{"@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/employee-direct-deposit-authorization-form-state-of-louisiana/288713/",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/employee-direct-deposit-authorization-form-state-of-louisiana/288713.png","ImageObject",442,249,{"name":88,"@type":89},"Riley West","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-20","2026-09-17",true,{"@type":98,"interactionType":99,"userInteractionCount":9},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What documentation must be attached to the form?","Question",{"text":108,"@type":109},"You must attach a voided check to the form; deposit slips are not acceptable as they do not provide the necessary banking information.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What is the purpose of signing this form?",{"text":113,"@type":109},"By signing, you authorize DataPath Administrative Services (DPAS) to initiate credit entries for reimbursements to your account and allow for necessary debit adjustments if errors occur.",{"name":115,"@type":106,"acceptedAnswer":116},"How can the completed form be submitted?",{"text":117,"@type":109},"The completed form can be submitted by fax at 1-888-472-6777, via email to info@idpas.com, or by mail to DataPath Administrative Services in Little Rock, AR.","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},288713,1789633813,{"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":73,"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":125,"read_time":4},1099523885074,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","EMPLOYEE DIRECT DEPOSIT AUTHORIZATION FORM  \nState of Louisiana  \nReimbursement Account  \nEmployee Direct Deposit Authorization Form  \nSTEPS FOR COMPLETING THIS FORM  \n1. Fill in all boxes below.  \n2. Attach voided check (not deposit slip).  \n3. Sign and date form.  \nLast Name  \nSocial Security Number  \nMI  \nWork Phone  \nEmail Address  \nAcct. Type  \nMonth Day Year Checking or Savings  \nRouting Transit Number Account Number  \n(All nine boxes must be filled.) (Include hyphens, but not spaces and special symbols)  \n􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀 􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀􀀀  \n-------------------------------ATTACH A VOIDED CHECK HERE. -------------------------------  \nDO NOT attach a DepositSlip because deposit slips do not show the necessary information.  \n\n| Joan Doe\u003Cbr>Anywhere, USA\u003Cbr>PAY TO THE ORDER OF   $     DOLLARS YOUR TOWN BANK |  |\n| --- | --- |\n| YOUR TOWN, AR 123456\u003Cbr>FOR  ‰25550005‰ 1234556789022‡ | VOID\u003Cbr>_____________________________ |\n\nBy signing this agreement, I authorize DPAS to initiate credit entries to the Account(s) indicated above for the purpose of reimbursements from my Account(s) and to initiate, if necessary, debit entries and adjustments for any credit entries made in error.  \nSignature:   Date:    \nPlease Fax form: 1-888-472-6777 Email [to](to info@idpas.com)[ ](to info@idpas.com)[info@idpas.com](to info@idpas.com) , Or mail to:  \nDataPath Administrative Services 1601 Westpark Drive Suite 9 Little Rock, AR 72204","cbCaic0nebBcGhEP","https://ap.wps.com/l/cbCaic0nebBcGhEP","pdf",145017,"English","# Steps for Completing the Form\n## Required Employee Information\n## Banking Account Details\n## Submission Instructions and Contact Information","[{\"question\":\"What documentation must be attached to the form?\",\"answer\":\"You must attach a voided check to the form; deposit slips are not acceptable as they do not provide the necessary banking information.\"},{\"question\":\"What is the purpose of signing this form?\",\"answer\":\"By signing, you authorize DataPath Administrative Services (DPAS) to initiate credit entries for reimbursements to your account and allow for necessary debit adjustments if errors occur.\"},{\"question\":\"How can the completed form be submitted?\",\"answer\":\"The completed form can be submitted by fax at 1-888-472-6777, via email to info@idpas.com, or by mail to DataPath Administrative Services in Little Rock, AR.\"}]","Employee Direct Deposit Authorization Form - State of Louisiana | PDF"]