"Support Enforcement Program Direct Deposit Request Form" - Newfoundland and Labrador, Canada

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Support Enforcement Program
Direct Deposit Request Form
Name:
SEP Account Number:
Bank Name:
Address:
Bank Account #
Bank Transit #
Note: The transit number is used to identify your bank branch. If you are not sure what
this number is, call your branch.
I _______________________, hereby authorize the Director of Support Enforcement to
deposit all my support payments electronically into my bank account.
Signature: __________________________
Date: ____________________
************** For Office use only. Do not write below this line******************
Entered by: _______________________
Date: ______________________
Verified by: _______________________
DirectDe.doc.doc
Support Enforcement Division
Support Enforcement Program
Direct Deposit Request Form
Name:
SEP Account Number:
Bank Name:
Address:
Bank Account #
Bank Transit #
Note: The transit number is used to identify your bank branch. If you are not sure what
this number is, call your branch.
I _______________________, hereby authorize the Director of Support Enforcement to
deposit all my support payments electronically into my bank account.
Signature: __________________________
Date: ____________________
************** For Office use only. Do not write below this line******************
Entered by: _______________________
Date: ______________________
Verified by: _______________________
DirectDe.doc.doc
Support Enforcement Division