Form BC-502 "Authorization for Direct Deposit of Benefit Payment" - New Jersey (English/Spanish)

What Is Form BC-502?

This is a legal form that was released by the New Jersey Department of Labor & Workforce Development - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the New Jersey Department of Labor & Workforce Development;
  • Easy to use and ready to print;
  • Available in Spanish;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form BC-502 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Labor & Workforce Development.

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Download Form BC-502 "Authorization for Direct Deposit of Benefit Payment" - New Jersey (English/Spanish)

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New Jersey Department of Labor and Workforce Development
Division of Unemployment Insurance
PO Box 908
Trenton, New Jersey 08625-0908
AUTHORIZATION FOR DIRECT DEPOSIT OF BENEFIT PAYMENT
If you choose not to receive New Jersey Unemployment Insurance benefit payments on the Bank of America debit card issued to
you, the only other method of payment is direct deposit into a personal checking/savings account. Your financial institution
must be a member of the Automated Clearing House network. Funds will normally be available in your account within two (2)
full business days from the day you claim benefits by telephone or via the internet. Payments are not transmitted on State,
Federal, or Banking holidays, or on weekends. You should still verify the deposit with your financial institution
prior to writing checks or attempting to access and use the benefit payments.
You can apply for direct deposit to a personal checking/savings account at myunemployment.nj.gov or by completing and
mailing this form to the address listed above. If you enrolled in direct deposit online, you do not need to complete this
form.
If
you
change
your
financial
institution
or
your
account,
you
may
make
the
necessary
changes
online
at
myunemployment.nj.gov or complete this authorization form and mail to the address above.
Note: Please be advised that any claim inactivity of twenty-eight (28) days or longer will cause your method of benefit payment
to automatically revert to a Bank of America debit card. Your Bank of America debit card is valid for four (4) years. You can use
the Bank of America debit card, if you file for unemployment insurance benefits within four (4) years from when you first
received the debit card.
To enroll in direct deposit, you must provide proof that you are the owner/joint owner of the account. Acceptable
proof can be: 1) a voided check with your name and address imprinted on it; 2) an account statement showing your name and
address, financial institution’s name and address and the account number; or 3) a completed direct deposit request form
provided by your financial institution.
Starter checks are not accepted.
Do not include sections of the financial statement
showing personal finances. Remember to provide the nine-digit bank routing number.
Complete, sign and mail this authorization form with proof of account ownership to the address listed above.
CLAIMANT INFORMATION (please print clearly)
Name: _______________________________________________
Social Security No.:______________________________
Address:______________________________________________
Telephone No.:
_______________________________
______________________________________________
E-mail Address: ________________________________
REASON FOR REQUEST (check all that apply)
Begin Direct Deposit
Stop Direct Deposit
Change Financial Institution
Change Account Number
ACCOUNT INFORMATION (attach proof of account ownership)
Type of Account:
Checking
Saving
Brokerage/Investment or other (verify that they accept electronic transfers)
Financial Institution/BANK Routing Number (9 digits)
Account Number ______________________________________________________
Financial Institution Name and Address: ______________________________________________________________________
AUTHORIZATION:
I authorize the NJLWD, Division of Unemployment Insurance to deposit my benefit payments to the
account specified. I understand that it is my responsibility to verify all benefit payment deposits.
Signature of Claimant: ___________________________________________ Date: ________________
REASON DIRECT DEPOSIT CANNOT BE PROCESSED - Your application could not be processed due to missing information.
Please resubmit this form with the missing information checked below and return to the address above.
You did not sign the form.
You did not provide proof of ownership.
You did not provide your Routing Number.
Other
FOR AGENT USE ONLY:
UI Agent Must Follow Security Procedures for Maintaining Confidential Information
PC ________
DOC ___________________ DATE ENTERED_______________________ AGENT_______________________
Para Español Vea El Lado Inverso
BC-502 (R-06-19)
New Jersey Department of Labor and Workforce Development
Division of Unemployment Insurance
PO Box 908
Trenton, New Jersey 08625-0908
AUTHORIZATION FOR DIRECT DEPOSIT OF BENEFIT PAYMENT
If you choose not to receive New Jersey Unemployment Insurance benefit payments on the Bank of America debit card issued to
you, the only other method of payment is direct deposit into a personal checking/savings account. Your financial institution
must be a member of the Automated Clearing House network. Funds will normally be available in your account within two (2)
full business days from the day you claim benefits by telephone or via the internet. Payments are not transmitted on State,
Federal, or Banking holidays, or on weekends. You should still verify the deposit with your financial institution
prior to writing checks or attempting to access and use the benefit payments.
You can apply for direct deposit to a personal checking/savings account at myunemployment.nj.gov or by completing and
mailing this form to the address listed above. If you enrolled in direct deposit online, you do not need to complete this
form.
If
you
change
your
financial
institution
or
your
account,
you
may
make
the
necessary
changes
online
at
myunemployment.nj.gov or complete this authorization form and mail to the address above.
Note: Please be advised that any claim inactivity of twenty-eight (28) days or longer will cause your method of benefit payment
to automatically revert to a Bank of America debit card. Your Bank of America debit card is valid for four (4) years. You can use
the Bank of America debit card, if you file for unemployment insurance benefits within four (4) years from when you first
received the debit card.
To enroll in direct deposit, you must provide proof that you are the owner/joint owner of the account. Acceptable
proof can be: 1) a voided check with your name and address imprinted on it; 2) an account statement showing your name and
address, financial institution’s name and address and the account number; or 3) a completed direct deposit request form
provided by your financial institution.
Starter checks are not accepted.
Do not include sections of the financial statement
showing personal finances. Remember to provide the nine-digit bank routing number.
Complete, sign and mail this authorization form with proof of account ownership to the address listed above.
CLAIMANT INFORMATION (please print clearly)
Name: _______________________________________________
Social Security No.:______________________________
Address:______________________________________________
Telephone No.:
_______________________________
______________________________________________
E-mail Address: ________________________________
REASON FOR REQUEST (check all that apply)
Begin Direct Deposit
Stop Direct Deposit
Change Financial Institution
Change Account Number
ACCOUNT INFORMATION (attach proof of account ownership)
Type of Account:
Checking
Saving
Brokerage/Investment or other (verify that they accept electronic transfers)
Financial Institution/BANK Routing Number (9 digits)
Account Number ______________________________________________________
Financial Institution Name and Address: ______________________________________________________________________
AUTHORIZATION:
I authorize the NJLWD, Division of Unemployment Insurance to deposit my benefit payments to the
account specified. I understand that it is my responsibility to verify all benefit payment deposits.
Signature of Claimant: ___________________________________________ Date: ________________
REASON DIRECT DEPOSIT CANNOT BE PROCESSED - Your application could not be processed due to missing information.
Please resubmit this form with the missing information checked below and return to the address above.
You did not sign the form.
You did not provide proof of ownership.
You did not provide your Routing Number.
Other
FOR AGENT USE ONLY:
UI Agent Must Follow Security Procedures for Maintaining Confidential Information
PC ________
DOC ___________________ DATE ENTERED_______________________ AGENT_______________________
Para Español Vea El Lado Inverso
BC-502 (R-06-19)
New Jersey Department of Labor and Workforce Development
Division of Unemployment Insurance
PO Box 908
Trenton, New Jersey 08625-0908
AUTORIZACION PARA DEPÓSITO DIRECTO DE SUS PAGOS DE BENEFICIOS
Si usted elige no recibir sus beneficios de pago de la División del Seguro por Desempleo de Nueva Jersey en la tarjeta de débito
del Banco de América enviada a usted, la otra única opción que tiene es depósito directo a su cuenta de cheques o ahorro. Su
institución financiera tiene que ser miembro de la red reconocida como “Automated Clearing House” (ACH). Normalmente los
fondos están disponible en su cuenta dentro de dos (2) días de comercio, del día en el cual reclamo sus beneficios sea por
teléfono u por el Internet.
Fondos no son transferidos en días de fiesta Federales, Estatales o durante fines de
semanas. Usted debe de verificar el depósito con su institución financiera antes de escribir cheques o intentar
acceso contra el pago de beneficios.
Usted puede registrarse para depósito directo a su cuenta de cheque o ahorros vía el Internet en myunemployment.nj.gov o
completando y devolviendo este formulario de autorización a la dirección que aparece arriba. Si usted se registró para el
servicio de depósito directo via el Internet no tiene que completar este formulario.
Si usted cambia de institución financiera o su número de cuenta, puede hacer los cambios necesarios en línea en
myunemployment.nj.gov o completando y devolviendo este formulario de autorización a la dirección que aparece arriba.
Aviso: Favor de estar consiente que si su reclamación no tiene actividad en 28 días o más, el método de pago automáticamente
se cambia a la Tarjeta de Débito del Banco de América. Su tarjeta de débito del Banco de América es válida por cuatro (4)
años. Usted puede usar la tarjeta de débito del Banco de América, si solicito beneficios dentro de cuatro (4) años de la fecha en
la cual la recibió.
Para inscribirse al servicio de depósito directo, usted tiene que proveer prueba de ser dueño u dueño conjunto de la
cuenta. Pruebas aceptables pueden consistir de: 1) Un cheque anulado con su nombre y dirección imprimida en el cheque:
2) Una copia de su fractura de cuenta bancaria que contenga su nombre y dirección, nombre y dirección de la institución, al
igual que el número de cuenta; o 3) Un formulario completado por su institución financiera para depósito directo. Cheques de
cuentas nuevas sin su nombre o dirección imprimidas no son aceptados. No incluya la sección de la fractura que contenga los
balances de su cuenta financieras personales. Recuérdese de incluir el número de nueve dígitos asignado a su institución
financiera de ruta y transmisión.
Envié su formulario completado y firmado con prueba de ser dueño de la cuenta a la dirección que aparece arriba de este
formulario.
INFORMACION RECLAMENTE (Favor de escribir claramente)
Nombre: _______________________________________________
Núm. Seguro Social: ________________________________
Dirección: ______________________________________________
Núm De Teléfono: _________________________________
______________________________________________
Dirección de e-correo: ______________________________
MOTIVO DE SOLICITUD (marque todos los que correspondan)
Comienza el Depósito Directo
Dejar el depósito directo
Cambiar Institución Financiera
Cambiar número de cuenta
INFORMACION DE CUENTA DE CHEQUE (Agache prueba que es dueño de la cuenta)
Tipo de cuenta:
Cheque
Ahorro
Casa de Inversiones U otro tipo (verifique que aceptan transmisiones electrónicas)
Numero De Ruta Del Banco
Numero De Cuenta
Institución Financiera; Nombre y Dirección:
AUTORIZACION:
Yo autorizo al NJLWD, División de Seguro por Desempleo que deposite mis pagos a la cuenta especificada. Yo
entiendo que es mi responsabilidad de verificar todos los pagos depositados.
Firma del Reclamente: ___________________________________________
Fecha: ___________________
RAZON POR CUAL SU DEPÓSITO DIRECTO NO PUEDE SER PROCESADO - Su aplicación no pudo ser procesada porque omitió
información requerida. Favor de remitir este formulario con la información indicada abajo y devuélvalo a la dirección que aparece arriba.
□ No firmo el formulario.
□ No proveo prueba de ser dueño de la cuenta.
□ No proveo el Numero de ruta y transmisión.
□ Otra
FOR AGENT USE ONLY:
UI Agent Must Follow Security Procedures for Maintaining Confidential Information
PC _______ DOC___________________
DATE ENTERED_____________________ AGENT___________________________
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