| Step 1 - |
Fill out the DPS Authorization Agreement. |
| Step 2 - |
Print a copy of the completed form and sign your name as it appears on your financial institution records. |
| Step 3- |
Return the form along with an original check marked "void" or a photocopy of a check from the checking account you wish to have debited (deposit slips cannot be accepted) to SSWD by mail with your next payment, mail separately or drop off at our office. |