The following form
authorizes Temporary Disability Insurance to directly deposit your benefit payment
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