​Submit Change to Direct Deposit

​Providers may can request update to their Direct Deposit details by contacting our team to modify you existing agreement. 
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When submitting this request, please ensure the following information is provided:
*Provider Details
*Authorized Representative 
* Bank Information
*Requested Effective date 
*Submit Updated Voided Check or Bank Statement

* Changes are not retroactive
*Incomplete requests may delay processing 

By submitting this form, you are requesting a change in your Direct Deposit. All Requests are subject to review and verification.

Provider Details

Authorized Representative

Bank Information

I certify that the information provided is accurate to the best of my knowledge.

You can upload a maximum of 1 file, up to 48MB. Supported files include image, .doc, .dot, .wbk, .docx, .docm, .dotx, .dotm, .docb, .xls, .xlt, .xlm, .xlsx, .xlsm, .xltx, .xltm, .ppt, .pot, .pps, .pptx, .pptm, .potx, .potm, .ppam, .ppsx, .ppsm, .sldx, .sldm, .pdf.

After Submission

After submission, your inquiry is forwarded to our team and assigned to a dedicated Provider Coordinator who will begin processing it.

Processing 

Our support team responds to all changes within 48 hours. For urgent issues, contact our hotline. Approved Pay Rates are updated in Kinder Systems.

Confirmation

Providers may receive confirmation once the Pay Rate has been updated, or be contacted if additional information is needed.