26.04.2014 Views

CalWORKs Policy - Department of Public Social Services

CalWORKs Policy - Department of Public Social Services

CalWORKs Policy - Department of Public Social Services

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

PA 1675 (out <strong>of</strong> drawer), Direct Deposit<br />

Authorization Sign-Up Form.<br />

Staple the LEADER screen prints (Case Pr<strong>of</strong>ile<br />

and Case Member) to the PA 1675.<br />

Postage-paid return envelope pre-addressed to<br />

the Auditor-Controller for processing.<br />

NOTE: The mailing address for all Direct<br />

Deposit Sign-up and Cancellation forms<br />

is:<br />

Los Angeles County Auditor-Controller<br />

P. O. Box 7000<br />

Downey, CA 90241-9907.<br />

The EW must ensure that:<br />

The participant follows the instructions printed on<br />

the reverse side <strong>of</strong> the PA 1675.<br />

The participant completes Section I <strong>of</strong> the PA<br />

1675.<br />

The participant understands the importance <strong>of</strong><br />

ensuring that the LEADER screen prints remain<br />

stapled to the PA 1675.<br />

If using a checking account, the participant must<br />

attach a voided check.<br />

If the participant is designating a bank savings<br />

account or a credit union account, the financial<br />

institution must complete Section II <strong>of</strong> the PA<br />

1675.<br />

The participant mails the PA 1675, screen prints,<br />

etc. in the postage-paid return envelope preaddressed<br />

to the Auditor-Controller for<br />

processing.<br />

NOTE: Any PA 1675s inadvertently returned to the<br />

district <strong>of</strong>fice are to be forwarded to the<br />

Direct Deposit Liaison. The Direct Deposit<br />

Liaison will immediately forward them to<br />

the Auditor-Controller via the cashier using<br />

the district locked bag process for<br />

affidavits.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!