INSTRUCTIONS: ARKANSAS DIRECT DEPOSIT ENROLLMENT FORM

To receive Arkansas child support payments as direct deposits paid to an open checking or savings account in your name, you should complete the enrollment form discussed in this article. This document can be obtained from the website maintained by the Arkansas Department of Finance and Administration.

Arkansas Direct Deposit Enrollment Form Step 1: On the first blank line, enter the name of the custodial parent.

Arkansas Direct Deposit Enrollment Form Step 2: On the second blank line, enter the Social Security number of the custodial parent.

Arkansas Direct Deposit Enrollment Form Step 3: On the third blank line, enter the phone number of the custodial parent, including the area code.

Arkansas Direct Deposit Enrollment Form Step 4: On the fourth blank line, enter your case number or numbers.

Arkansas Direct Deposit Enrollment Form Step 5: Check the fifth blank line if submitting a new enrollment.

Arkansas Direct Deposit Enrollment Form Step 6: Check the sixth blank line if submitting a re-enrollment application.

Arkansas Direct Deposit Enrollment Form Step 7: Check the seventh blank line if canceling your enrollment.

Arkansas Direct Deposit Enrollment Form Step 8: Check the eighth blank line if the bank account being used or to be used is a checking account.

Arkansas Direct Deposit Enrollment Form Step 9: Check the ninth blank line if the bank account being used or to be used is a savings account.

Arkansas Direct Deposit Enrollment Form Step 10: Check the tenth blank line if this application documents a change of financial institution.

Arkansas Direct Deposit Enrollment Form Step 11: Check the eleventh blank line if this application documents a change of your account number.

Arkansas Direct Deposit Enrollment Form Step 12: Enter your signature on the twelfth blank line.

Arkansas Direct Deposit Enrollment Form Step 13: Enter the date on the thirteenth blank line.

Arkansas Direct Deposit Enrollment Form Step 14: You may submit this form by mail to the P.O. box address given on the first instructional page, or by fax to the number listed. In either case, a copy of a voided check or voided savings withdrawal slip should be submitted.

Arkansas Direct Deposit Enrollment Form Step 15: Allow 14 business days for establishment of direct deposits. Contact your bank if you wish to know when you will be able to make a withdrawal of these funds.