Authorization for Deposit of Payments

Authorization for Deposit of Payments - (Forms/Publications)
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Title   Authorization for Deposit of Payments (66 KB PDF)

Used by pensioner to authorize L&I to deposit the pension payment to any designated financial institution.

Form number F242-174-000
Online only. See document above to download.
Keywords automatic deposit, claims, deposit account, direct deposit, disability pension benefits, disabled, industrial insurance, pension disability benefits, social security offset, sso, worker's compensation, workers compensation, workers' compensation
Languages English , English/Spanish
Valid dates 02-2011
Contact information Claims
Web pages Workers' Comp Claims

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