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Vendor/Payee Direct Deposit

Vendor/Payee Direct Deposit Form

It typically takes 3-5 business days to process a registration form that is complete. Please do not submit duplicates as it increases processing time.

To submit the updated form, choose one of the following options:

Complete the Direct Deposit Authorization form electronically (paperless) using DocuSign™ with a digital signature.

Unfinished/unsigned forms will be voided on the next business day. For guidance see: Submitting forms with DocuSign™.

  1. Download the form in PDF, print and complete it manually.
  2. Sign with a pen (a "wet signature"). We are unable to accept stamped, inserted, or electronic signatures via this method.
  3. Submit the form by one of these options:
    1. Scan to PDF format and email to: payeeforms@ofm.wa.gov
    2. Fax to: (360) 664-3363
    3. Mail to: Statewide Payee Registration, PO Box 41450, Olympia, WA 98504-1450

Instructions

Please visit our video: How to fill out the Payee Direct Deposit form.

The Direct Deposit Authorization form should be used to perform one of the following:

  • Set-Up Direct Deposit Payment
  • Modify existing Direct Deposit arrangements
  • Cancel Direct Deposit and re-instate payment through U.S. mail

PART A - Identification details:

  • You MUST provide your Statewide Vendor Number unless this form accompanies a new registration.
  • If you do not know your Statewide Vendor Number use the link provided - Statewide vendor number lookup
  • You MUST provide your legal name as it appears with the IRS.
  • Please provide your DBA if you have one.
  • You MUST provide your Social Security Number (SSN) OR Employer Identification Number (EIN). Do not provide both.

PART B - Payment option:

  • Check the box indicating your preferred method of payment.

PART C - Direct Deposit information and signature:

  • If you checked Direct Deposit in Part B, fill out all fields in Part C.
  • Please note that if the Account type is left blank we will default to checking account.
  • Please note that if Payment type is left blank, we will default to corporate/business payment.
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