Unemployment Insurance, RI Dept. of Labor and Training
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Direct Deposit Authorization/Cancellation Form

**Effective March 27, 2007, customers receiving UI Benefits via Direct Deposit will no longer receive a payment receipt. Direct Deposit customers should verify deposits with their bank.

The following form authorizes Unemployment 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. Get Adobe Reader

Please Print button print out the form, fill it in, attach check marked "void" or bank documentation
of routing and account numbers and mail everything to;

Unemployment Insurance
P.O. Box 20340
Cranston, RI 02920-0943

Direct Deposit Form Direct Deposit Authorization / Cancellation Form


Use this check to find your bank's routing number and your account number. THIS IS NOT A REAL CHECK!

A picture of a personal check to show where routing and account numbers are located


 
RI Department of Labor and Training
Center General Complex
1511 Pontiac Avenue, Cranston, RI 02920


Phone: (401) 462-8000
Fax (401) 462-8666
TTY via RI Relay: 711
9/18/14 MDF
State Seal
  DLT is an equal opportunity employer/program - auxiliary aids and services available upon request