Direct Deposit Sign-Up/change Form For Housing Assistance Payments printable pdf download

DIRECT DEPOSIT SIGN-UP/CHANGE FORM

FOR HOUSING ASSISTANCE PAYMENTS

Dear Landlord:

Thank you for participating in the direct deposit program. Direct deposits for the 1

check run are made within the

first three business days of the month and an interim payment will be made on approximately the 15th of each

month. THE PAYMENT SHOULD BE POSTED TO YOUR BANK ACCOUNT THE NEXT BUSINESS DAY

FOLLOWING THE DIRECT DEPOSIT PROCESSING. To find out when your deposit will be available, check

with your bank to see when they process their ACH transactions.

Your direct deposit advice will only be available online unless you notify us that you must receive a paper copy. To

receive a paper advice in the mail, please call 719-387-6724 or email sks@csha.us. To view your statement online,

go to Click on ‘register’ to begin. You will need your Tax ID number to register. This

also allows you to view and print an 18-month history and current year-to-date totals of payments made to you.

A. To sign-up for direct deposit:

1. Fill out the form below. (The form must be signed by the owner or authorized agent only.)

2. Direct deposits can be made to checking or savings accounts.

CHECKING ACCOUNT: Attach a voided check or a photocopy of a voided check. Do not send a

deposit slip because they do not contain the correct banking information.

SAVINGS ACCOUNT: Attach a deposit slip.

3. Detach the form and mail it to:

Colorado Springs Housing Authority

Post Office Box 1575, Mail Code 1490

Colorado Springs, Colorado 80901-1575

4. You may also fax information to 719-632-7807(attn: Accounting) or scan to

sks@csha.us

B. To change information or bank account:

1. Follow instructions above.

2. Send a copy of a voided check from the new account specifying that it is a direct deposit change.

_____ Direct Deposit Sign-up or ______ Direct Deposit Change (Please ‘X’ beside appropriate one.)

Landlord Name ___________________________________________________ Phone _________________

(The Name on Bank Account MUST match the name and Taxpayer Identification Number provided on the IRS

Form W-9)

ATTACH VOIDED CHECK OR PHOTOCOPY OF VOIDED CHECK HERE

(SAVINGS ACCOUNT ONLY: ATTACH DEPOSIT SLIP)

Checking__________

Savings___________

Authorized Signature

_________

Email address: ___________________________________________________________________________

Name of tenant (Only need to list one tenant) ___________________________________________________

Direct Deposit Sign-Up/change Form For Housing Assistance Payments