Temporary
Disability Insurance
Direct Deposit Authorization Form
The following form
authorizes Temporary Disability Insurance to directly deposit your benefit check
into a savings or checking account. It is in pdf format. You must have Adobe
Reader to view it. ![]()
Please print out
the form, fill it in, attach check marked "void" or bank documentation
of routing and account numbers and mail everything to;
Temporary Disability Insurance
P.O. Box 20100
Cranston, RI 02920
Direct Deposit Authorization Form
Use
this check to find your bank's routing number and your account number.
THIS IS NOT A REAL CHECK!
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RI
Department of Labor and Training |