Government of Ontario: Ministry of Community and Social Services
Family Responsibility Office

Registration for Direct Deposit

P.O. Box 220
Downsview ON
M3M 3A3

When the Family Responsibility Office receives a support payment that is owed to you, these funds will be sent by DIRECT DEPOSIT to the bank of your choice. To ensure that you receive your money quickly, the following information must be provided. Incorrect information could result in your payment being sent to the wrong account.

Instructions
If you wish to have your support payments deposited into your CHEQUING ACCOUNT, COMPLETE SECTION 'A' and ATTACH A BLANK PERSONAL CHEQUE with 'VOID' written on it.
If, however, you wish to designate your SAVINGS ACCOUNT, complete SECTION 'A', take this form to your bank and ask them to complete SECTION 'B' - Banking Data.
DO NOT FORGET TO SIGN THE BOTTOM OF THE FORM AUTHORIZING THE DIRECT DEPOSIT SERVICE

Important notes about changing bank accounts
If your account number changed, or if you wish to have your support payments deposited to a different account, you must complete a new DIRECT DEPOSIT FORM and return it to the Family Responsibility Office. After the changes have been processed, your support payments will be sent to your new account. DO NOT CLOSE YOUR OLD ACCOUNT UNTIL YOU RECEIVE YOUR FIRST PAYMENT TO THE NEW ACCOUNT.

SECTION 'A' - Support Recipient Information

PLEASE PRINT CLEARLY

Name

Address
Street






Telephone number where you can be reached during the day

NOTE: If attaching a VOID cheque, please tape the cheque over the Banking Information in Section "B"

SECTION "B" - Banking Information To be completed by your bank if you are not attaching a VOID Cheque






Until further notice, I authorize the direct deposit of my support payments to the account and financial institutiondesignated in this form.