Authorization for Deposit of Payments
See also
| Document Information | ||
|---|---|---|
 Get help downloading & printing files.  How to complete a fillable form. |
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| Title |
 Authorization for Deposit of Payments (66 KB PDF)
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|
| Description | Used by pensioner to authorize L&I to deposit the pension payment to any designated financial institution. |
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| Detail | ||
| Form number | F242-174-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | automatic deposit, claims, deposit account, direct deposit, disability pension benefits, disabled, industrial insurance, pension disability benefits, social security offset, sso, worker's compensation, workers compensation, workers' compensation | |
| Languages | English , English/Spanish | |
| Valid dates | 02-2011 | |
| Contact information |
Claims
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| Web pages | Workers' Comp Claims | |
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