I authorize you and the financial institution listed below to initiate electronic credit entries, and if necessary, debit entries and adjustments for any credit entries to my:
for every Per-Capita disbursement. This authority will remain in effect until I have canceled it in writing.
If you are an Enrolled CSKT Member of the Confederated Salish and Kootenai Tribes, a parent, guardian or payee of an enrolled CSKT child? (Please List Names & Enroll Numbers):
**If filling the form out on a mobile device works best in landscape mode.
DIRECT DEPOSIT INFORMATION
Direct deposit will help you in many ways. It saves trips to your financial institution, saves time in depositing checks, and eliminates the possibility of lost, stolen, or forged checks. Your money is deposited faster and reduces the possibility of overdrafts. It also means that your money is deposited into your account even if you are on vacation or away from the home on business or illness. When a direct deposit is implemented for the first time, your information is sent to your financial institution as a pre-note, which means that it is being tested to ensure that the deposit will be sent correctly and that you will get a check. Following the per-capita, you will receive a direct deposit statement. We believe you will like the added convenience of having your Tribal Per-Capita automatically deposited to your account. Direct deposit is safe, convenient, and easy. To take advantage of this service, complete this form online. If you have further questions about direct deposit please contact the Central Accounting at 406-675-2700, extension 1012 or 1002.
**MUST UPLOAD A VOIDED CHECK OR DIRECT DEPOSIT SLIP FROM YOUR ACCOUNT AND A COPY OF YOUR TRIBAL ID TO VERIFY IDENTITY, ACCURACY OF ROUTING AND ACCOUNT NUMBER INFORMATION**
Only PDF or JPG Format Accepted!
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