[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-276828-105":53,"doc-detail-276828-en":127},{"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":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","odhs-7262-direct-deposit-enrollment-for-client-services","ODHS 7262-Direct Deposit Enrollment for Client Services","","ODHS 7262 is a direct deposit enrollment request form for Client Services that collects payee identity and contact details, the purpose of the request (new enrollment, change, or cancellation), and complete banking information. Submission requires a wet-ink signature or an Adobe certified digital ID signature and appropriate bank verification using a voided preprinted check or official bank verification letter for new or change requests. 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It also requires a dated wet-ink signature or an Adobe certified digital ID signature with printed name.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"What banking documents are required with the form?",{"text":114,"@type":110},"New or change requests require a copy of a voided preprinted check or an official bank verification letter (bank verification document). BV is not required for cancellations.",{"name":116,"@type":107,"acceptedAnswer":117},"How long does it take to verify the account and what happens if information is incomplete?",{"text":118,"@type":110},"Depending on the payment cycle, it may take up to 30 days to verify the account. Failure to include all required information voids the authorization and the form is returned.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},276828,1790057792,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":73,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},549758252649,"https://ap-avatar.wpscdn.com/avatar/8000253669c5317157?_k=1778319167496531819","Prime \\#:  \nForm 7262-Direct Deposit Enrollment for Client Services  \nRead instructions on page 2 before completing.  \nCLEAR ALL  \nSUBMIT  \n\n| Section A – Personal information |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| Payee name: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Social Security number: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Phone number: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Email address: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Mailing address line 1 : |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  Mailing address line 2:  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Is this for ICP? |  |  | |  | Yes |  | |  |  | No |  |  |  |  |\n| ICP (Independent Choices Program) deposits must use a checking account. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Section B – Request Purpose |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  | New (start) |  |  |  |  |  |  | Change account |  |  Cancel (stop) |  |  |  |\n| Section C – Financial institution information |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Name of bank/credit union: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Account type: |  |  |  |  |  |  | Checking |  |  |  |  | Savings |  |  |\n| Account purpose: |  |  |  |  |  |  | Business |  |  |  |  | Personal |  |  |\n| Bank routing number: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Bank account number: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| ** An attached copy of a preprinted check or a bank verification is required. ** |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  Are you attaching this?  Yes  No (only allowed if you are cancelling deposits) \u003Cbr> Section D – Submission information  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| I certify that I have read and understand the information contained in this form. This form authorizes direct deposit to a bank account. I acknowledge that the origination of transactions to the authorized account must comply with provisions of Oregon and US law. I certify that I am authorized to enter into this agreement as the account holder.\u003Cbr>• International transaction certification: I certify that the entire amount of my direct deposit is not ultimately deposited into a financial institution outside the United States.\u003Cbr>• Recovery of federal benefits funds deposited in error: In the event an erroneous deposit occurs resulting in an overpayment, ODHS/OHA reserves the right to debit your account to recover the funds—except where prohibited by law or regulation, including applicable due process protections under federal guidelines such as 7 CFR § 273.18. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| ** Signature must be in wet ink or an Adobe certified digital ID signature. ** |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Wet ink or Adobe certified digital ID signature: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Printed name: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| Date: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\n\n| Office use only: |  | ICP |  | Client Services Original on file with ODHS |\n| --- | --- | --- | --- | --- |\n| Agency initials/ signature: Date processed: |  |  |  |  |\n\nPage 1 of 2 ODHS 7262 ( Rev 04/2026)  \nInstructions for Form 7262-Direct Deposit Enrollment for Client Services  \nThis direct deposit request form must be filled out completely. Depending on the payment cycle, it may take up to 30 days to verify your account. Failure to include all information will void this authorization and it will be returned. The following information must be included for your request to be processed:  \n• *Copy of voided preprinted check or official bank verification letter.* Attach Bank Verification (BV) document for all new or change requests. BV is not required to cancel.  \n􀂃 ICP requires enrollment in direct deposit and must be a checking account.  \n􀂃 Check or bank letter must be imprinted with the ba","cbCaipLVyYcKXXQT","https://ap.wps.com/l/cbCaipLVyYcKXXQT","pdf",496540,"English","# Section A – Personal information\n## Section B – Request Purpose\n## Section C – Financial institution information\n## Section D – Submission information\n# Office use only\n# Page 2 Instructions for Form 7262-Direct Deposit Enrollment for Client Services","[{\"question\":\"What information must be completed to submit ODHS 7262 Direct Deposit Enrollment for Client Services?\",\"answer\":\"The form must be filled out completely, including personal contact fields and Social Security/Tax ID, the request purpose selection, and full routing and account numbers. It also requires a dated wet-ink signature or an Adobe certified digital ID signature with printed name.\"},{\"question\":\"What banking documents are required with the form?\",\"answer\":\"New or change requests require a copy of a voided preprinted check or an official bank verification letter (bank verification document). BV is not required for cancellations.\"},{\"question\":\"How long does it take to verify the account and what happens if information is incomplete?\",\"answer\":\"Depending on the payment cycle, it may take up to 30 days to verify the account. Failure to include all required information voids the authorization and the form is returned.\"}]","ODHS 7262-Direct Deposit Enrollment for Client Services | PDF",1789495555]