Protect Abuse Reporting
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Payments can take up to 14-21 days to process. Please note, incomplete and inaccurate submitted forms can further delay payment being processed.
Please be sure to fill in the following information:
If you are a club requesting field use, include:
If you are an Athletic Trainer:
If you are a Referee Assignor:
If you are a Referee:
Each event weekend needs to be a separate submission of this form
I (we) hereby authorize Florida Youth Soccer Association, Inc. to initiate credit/deposit to my (our) account indicated below, and the depository institution below to credit the same to such account.
I (we) hereby request a change to my (our) existing direct deposit as indicated below.
Note: Please allow 5 business days for ACH processing to become effective.
Individual/Vendor Information - Please fill out the information below.
Depository Information - Please fill out the information below.
Checking Account
Savings Account
This authorization is to remain in full force and effect until the company has received written notification from me (or either of us) to discontinue direct deposit. Please allow 15 business days for processing of ACH discontinuation.
Upload a "voided" check in the box below or a bank Direct Deposit Form: (Acceptable File Upload Formats: PNG, JPEG,JPG, GIF, PDF, DOC, DOCX)
Please download the following W-9 Form here to complete. After you have successfully finished the W-9 Form, please use the file upload feature below for processing. Word files and PDFs are the only acceptable upload formats.