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How do I fill this out?
Filling out this form is straightforward and essential for receiving your cash assistance benefits. Make sure to provide accurate personal and banking details on the form. Follow the instructions carefully to ensure a successful enrollment.

How to fill out the Washington Cash Assistance Direct Deposit Enrollment?
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1. Complete the personal information section accurately.
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2. Provide your banking details including account and routing numbers.
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3. Include a voided check or deposit slip from your financial institution.
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4. Review your information to minimize errors.
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5. Submit the form using the provided contact options.
Who needs the Washington Cash Assistance Direct Deposit Enrollment?
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Individuals receiving cash assistance benefits.
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New clients seeking direct deposit enrollment.
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Current recipients wanting to change their bank account.
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Those needing to cancel their existing direct deposits.
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Clients needing guidance for submitting direct deposit forms.
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What are the instructions for submitting this form?
To submit this form, you can choose to mail it to the DSHS Customer Service Center at PO BOX 11699, Tacoma, WA 98411-6699. Alternatively, you can fax the completed form to 1-888-338-7410 or drop it off at a local DSHS office. Ensure that your submission is complete with all necessary documents included for processing.
What are the important dates for this form in 2024 and 2025?
Important dates for cash assistance enrollment will follow DSHS guidelines. Regular monthly benefit deposition occurs on the first banking day. Keep an eye on any notified changes for specific months in the following years.

What is the purpose of this form?
The purpose of this form is to streamline the direct deposit process for cash assistance recipients. It ensures that individuals can receive their benefits directly into their bank accounts, providing accessibility and efficiency. The form also serves as a means of updating or canceling existing direct deposit arrangements when necessary.

Tell me about this form and its components and fields line-by-line.

- 1. Client Identification Number: A unique number assigned to each assistance client.
- 2. Financial Institution Name: The name of the bank or credit union where the account is held.
- 3. Account Number: The specific bank account number for receiving deposits.
- 4. Routing Number: The nine-digit number representing the financial institution.
- 5. Account Type: Indicates whether the account is a checking or savings account.
What happens if I fail to submit this form?
If the form is not submitted, recipients may face delays in receiving cash benefits. Without a direct deposit setup, assistance could be delayed or results in the need for alternative arrangements. It is crucial to complete and submit the form to ensure timely payments.
- Delayed Benefits: Failure to submit will result in delays in cash assistance deposits.
- Inaccessibility of Funds: Clients might not have immediate access to essential funds.
- Increased Administrative Efforts: Without proper enrollment, clients may have to deal with manual payment options.
How do I know when to use this form?

- 1. New Enrollment: Complete when new to cash assistance and needing direct deposit.
- 2. Change Account: Utilize this form when changing the bank account for direct deposits.
- 3. Cancellation of Direct Deposit: Required to cancel existing direct deposit arrangements.
Frequently Asked Questions
How can I enroll in direct deposit?
Complete the form, provide required banking information, and submit it to DSHS.
What documents do I need to submit?
A voided check or deposit slip from your bank is necessary.
When will benefits be deposited?
Cash benefits will be deposited on the first banking day of each month.
How can I cancel my direct deposit?
Notify DSHS directly via phone, mail, or fax to cancel your enrollment.
How do I check my application status?
Contact the DSHS Customer Service Center for updates on your application.
Can I edit my PDF after submitting?
Yes, you can edit your PDF at any time using PrintFriendly tools.
What if my banking information changes?
Submit a new authorization form immediately to update your account details.
Is there a fee for using PrintFriendly?
PrintFriendly offers free tools for editing and sharing PDFs.
How long does it take to process my enrollment?
It can take up to two months to start direct deposit after submission.
Can I use my EBT card with direct deposit?
Yes, you will still need your Washington QUEST EBT Card for your benefits.
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