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The NYC CM 623 form is an important document used for managing direct deposit enrollment and cancellation for various services provided by the City of New York's Administration for Children's Services. This form allows vendors and clients to authorize direct deposits into their checking or savings accounts, ensuring timely and efficient payment processing. Key actions that can be taken with this form include new enrollments, changes to account details, and cancellations of existing agreements. To complete the form, individuals must provide their personal information, including their name, vendor/client number, and account details. Additionally, a voided check or a recent savings statement is required to verify the account information. Understanding how to fill out this form correctly is essential for anyone looking to streamline their payment process with the city's services.

Similar forms

The NYC CM 623 form is used for vendor or client direct deposit enrollment and cancellation. Here are seven documents that are similar to the CM 623 form, along with a brief explanation of how they relate:

  • Direct Deposit Authorization Form: This form allows individuals to authorize a financial institution to deposit funds directly into their bank account. Like the CM 623, it requires account information and authorization from the account holder.
  • Change of Address Form: This document is used to update an individual's address with a service provider. Both forms require personal information and are essential for ensuring accurate communication and transactions.
  • W-9 Form: The W-9 is used to provide taxpayer identification information to a payer. Similar to the CM 623, it gathers essential details for processing payments and ensures compliance with tax regulations.
  • Bank Account Verification Form: This form is used to verify the details of a bank account for transactions. Both the CM 623 and this verification form require specific banking information to facilitate direct deposits.
  • Vendor Registration Form: Used by businesses to register as vendors, this form collects necessary information to set up payment processes. It shares similarities with the CM 623 in that both forms are part of establishing payment methods.
  • Cancellation of Services Form: This document is used to officially cancel a service agreement. Like the cancellation section of the CM 623, it requires the signature of the individual wishing to terminate the service.
  • Direct Deposit Cancellation Form: Specifically designed for cancelling direct deposit arrangements, this form is closely related to the CM 623 as it serves the same purpose but may be more streamlined for cancellation only.

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CM 623

REV. 12/08

Vendor/Client Direct Deposit

Enrollment / Cancellation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

http://www.nyc.gov/html/acs/html/support_families/post_adoption.shtml

Submit Completed Form To: TheCityofNewYork

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ChildrenʼsServices

 

 

 

 

 

 

For Use By:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

P. O. Box914

 

 

 

 

 

 

AdoptionSubsidy

DirectFosterCare

 

 

 

 

 

 

 

 

 

 

 

PeckSlipStation

 

 

 

 

 

 

HousingSubsidy

AdoptionAttorney

 

 

 

 

 

 

 

 

 

 

 

NewYork,NY10272-0914

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type of Action

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Attach a voided check or most recent savings statement. Check all that apply:

 

 

 

 

 

 

 

 

 

 

NewEnrollment

 

 

 

 

ChangeOfNameOnAccount

 

 

 

 

ChangeOfAccountType

 

 

 

 

 

 

 

 

 

 

Cancellation

 

 

 

 

ChangeOfAccountNumber

 

 

 

 

ChangeOfABANumber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V E N D O R / C L I E N T S E C T I O N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor/Client Identification

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First

 

 

 

 

 

 

 

 

 

 

 

 

 

 

M.I.

Last

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vendor/ClientNumber

 

 

 

 

 

 

TaxID/SSN(LandlordOnly)

 

 

 

 

DaytimeTelephoneNumber

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Enrollment (Person(s)namedontheaccountmustincludevendor/client – exceptionmayapplytolandlord)

Person(s)NamedOnAccount(Print Exactly – Includetrusteeorjointowner)

Person1

Person2

ABANumber*

 

 

 

 

 

AccountNumber**

 

 

 

 

 

 

 

 

 

 

 

AccountType

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(CheckOnlyOne)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Savings Checking

*ABABankNumber: Checking Accounts – TheABANumberisthefirstnine(9)numberspriortotheaccountnumberatthe bottom left corner of the check. Savings Accounts – Contact Your Bank For ABANumber, If Not Known.

**AccountNumber:See check, passbook or account statement for account number.

Vendor/Client Authorization

I hereby authorize NYC/ACS to deposit my payment directly into my checking or savings account as requested. I also grantauthorizationforthereversalofacredittomyaccountintheeventthecreditwasmadeinerror. Iunderstandthat, under the "NationalAutomated Clearing HouseAssociation" operating guidelines and rules, NYC/ACS canreverseonly the amount of the incorrect direct deposit. I agree that this authorization will remain in effect until I provide NYC/ACS a writtencancellationtoterminatetheservice.

Vendor/ClientSignature: ________________________________________________________

________/________/________

 

DATE

Cancellation

IHerebyAuthorizeNYC/ACSToCancelMyDirectDepositAgreement.

Vendor/ClientSignature: ________________________________________________________

________/________/________

 

 

DATE

 

 

 

 

A G E N C Y U S E O N L Y

 

 

 

DataEntry: _______________________________________/_______________________________

________/________/________

PRINT

SIGN

DATE

Supervisor: _______________________________________/_______________________________

________/________/________

PRINT

SIGN

DATE

Common mistakes

Completing the NYC CM 623 form can be a straightforward process, but several common mistakes can lead to delays or issues with direct deposit enrollment or cancellation. Understanding these pitfalls can help ensure that the form is filled out correctly.

One frequent mistake is failing to provide accurate personal information. Individuals often overlook the importance of entering their names exactly as they appear on their bank accounts. Discrepancies in names can result in processing delays. Additionally, omitting the vendor/client number or tax identification number can hinder the ability to match the form with existing records.

Another common error involves the incorrect entry of banking information. Many people either misread their account number or provide an incorrect ABA number. The ABA number, which is crucial for processing direct deposits, must be the first nine digits located at the bottom left corner of a check. If individuals are unsure of their ABA number for savings accounts, they should contact their bank for clarification.

Additionally, some applicants neglect to check all applicable boxes under the type of action section. Whether enrolling, changing account details, or canceling a service, failing to indicate the correct action can lead to confusion and improper processing. This oversight can result in the form being returned or rejected.

People often forget to attach the required documentation, such as a voided check or the most recent savings statement. This attachment is critical for verifying the account information provided. Without it, the form may be deemed incomplete, causing further delays in processing.

Another mistake is not signing and dating the form. The authorization section requires the vendor/client's signature and the date of submission. Without these, the form lacks the necessary consent to process the direct deposit or cancellation.

Lastly, individuals sometimes fail to keep a copy of the completed form for their records. Retaining a copy can be beneficial for future reference or in the event of discrepancies. Without documentation, it may be challenging to resolve issues that arise later.

By being mindful of these common errors, individuals can enhance the likelihood of a smooth and efficient process when completing the NYC CM 623 form.

More About Nyc Cm 623

  1. What is the NYC CM 623 form?

    The NYC CM 623 form is used for enrolling in or canceling direct deposit for payments related to various services provided by the New York City Administration for Children's Services (ACS). This includes payments for adoption subsidies, direct foster care, and housing subsidies.

  2. How do I complete the NYC CM 623 form?

    To complete the form, you will need to provide your personal information, including your name, vendor/client number, and tax ID or Social Security number if applicable. Additionally, you must indicate the type of action you are taking—whether it's a new enrollment, a change of account details, or a cancellation. Don't forget to attach a voided check or your most recent savings statement, as this is crucial for processing your request.

  3. Where do I submit the completed form?

    Once you have filled out the form, it should be submitted to the following address:

    • The City of New York
    • Children’s Services
    • P.O. Box 914
    • Peck Slip Station
    • New York, NY 10272-0914
  4. What should I do if I want to cancel my direct deposit?

    If you wish to cancel your direct deposit, you need to fill out the cancellation section of the NYC CM 623 form. After signing and dating the form, submit it to the same address mentioned above. This will officially terminate your direct deposit agreement with ACS.

  5. How long does it take to process the direct deposit enrollment?

    The processing time for your direct deposit enrollment can vary. Typically, it may take a few weeks for your request to be fully processed and for payments to start being deposited directly into your account. It is advisable to follow up with ACS if you do not see payments deposited after this period.

  6. Can I change my account information after enrollment?

    Yes, you can change your account information after enrollment. If you need to update your account number, ABA number, or any other details, simply complete the appropriate section on the NYC CM 623 form and submit it again to ACS. Make sure to provide the necessary documentation, such as a voided check or savings statement, to ensure a smooth transition.

Misconceptions

Understanding the NYC CM 623 form is crucial for anyone involved in direct deposit enrollment or cancellation with the city. However, several misconceptions can lead to confusion. Here are five common misunderstandings:

  • Misconception 1: The CM 623 form is only for new enrollments.
  • Many people believe this form is solely for new direct deposit enrollments. In reality, it also allows for changes to existing accounts, cancellations, and updates to account information.

  • Misconception 2: You don't need to provide a voided check.
  • Some individuals think that a voided check or recent savings statement is optional. However, attaching this document is necessary to verify your account details and ensure accurate processing.

  • Misconception 3: Only landlords can use this form.
  • This form is often associated with landlords, but it is actually available for any vendor or client receiving payments from NYC/ACS, including individuals and organizations.

  • Misconception 4: You can cancel the direct deposit verbally.
  • People may assume they can cancel their direct deposit over the phone or in person. In fact, a written cancellation request must be submitted to officially terminate the service.

  • Misconception 5: The authorization is permanent and cannot be changed.
  • Some believe that once they authorize direct deposit, they cannot make changes. This is incorrect; you can update your account information or cancel the authorization at any time by submitting the appropriate requests.

Key takeaways

When filling out the NYC CM 623 form for direct deposit enrollment or cancellation, keep these key takeaways in mind:

  • Complete Information: Ensure that all required fields are filled out accurately. This includes your name, contact information, and bank account details. Double-check the ABA number and account number to avoid errors.
  • Attach Necessary Documents: Always include a voided check or the most recent savings statement with your form submission. This documentation verifies your account information.
  • Understand Your Options: The form allows for various actions, including new enrollment, changes to account information, and cancellations. Be sure to check all applicable boxes to indicate your specific request.
  • Authorization Matters: By signing the form, you authorize NYC/ACS to deposit payments directly into your account. Remember, this authorization remains in effect until you submit a written cancellation.

Nyc Cm 623: Usage Guide

Filling out the NYC CM 623 form is an important step for managing your direct deposit enrollment or cancellation. By completing this form accurately, you ensure that your payments are processed correctly. Below are the steps to guide you through the process.

  1. Obtain the Form: Download the NYC CM 623 form from the official NYC website or obtain a physical copy from a relevant office.
  2. Gather Required Information: Collect necessary documents, such as a voided check or your most recent savings statement.
  3. Choose Your Action: In the "Type of Action" section, check all that apply: New Enrollment, Change of Name on Account, Change of Account Type, Cancellation, Change of Account Number, or Change of ABA Number.
  4. Fill Out Vendor/Client Section: Provide your first name, middle initial, last name, vendor/client number, tax ID or Social Security Number (if applicable), and daytime telephone number.
  5. List Account Holder(s): Print the names of all persons on the account. This includes any trustee or joint owner.
  6. Enter Banking Information: Fill in the ABA number and account number. Make sure to check your documents for accuracy.
  7. Select Account Type: Indicate whether your account is a savings or checking account by checking the appropriate box.
  8. Provide Authorization: Sign and date the form to authorize NYC/ACS to deposit payments into your account. If you are canceling, provide a signature and date in the cancellation section.
  9. Submit the Form: Send the completed form to The City of New York, Children’s Services, P.O. Box 914, Peck Slip Station, New York, NY 10272-0914.

After submitting your completed form, you can expect to receive confirmation of your enrollment or cancellation. Be sure to keep a copy of the form for your records. If you have any questions or need further assistance, consider reaching out to the appropriate agency for support.