Form Bc 502 PDF Details

For many navigating the unemployment benefits landscape in New Jersey, understanding the BC-502 form is crucial. This document, provided by the New Jersey Department of Labor and Workforce Development Division of Unemployment Insurance, lays out the necessary steps for setting up direct deposit as a method to receive unemployment benefits. It’s an alternative for individuals who opt not to use the Bank of America debit card that is initially issued for benefit payments. To enable direct deposit into a personal checking or savings account, the form clarifies requirements such as the need for the financial institution to be part of the Automated Clearing House network and the expectation that funds will be available within two business days of claiming benefits. Additionally, the BC-502 form addresses situations where updates to account information are needed, points out the automatic switch to the Bank of America debit card after twenty-eight days of claim inactivity, and outlines the evidence required to prove account ownership for enrollment. Missteps or incomplete information can result in processing delays, emphasizing the importance of thoroughly completing and signing the form. This comprehensive approach ensures that benefit payments are received swiftly and securely, directly into the bank account specified by the claimant.

QuestionAnswer
Form NameForm Bc 502
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names nj online bc 502r 10 13 form

Form Preview Example

N e w Je rse y De pa rt m e nt of La bor a nd W ork force De ve lopm e nt

Division of Une m ploy m e nt I nsura nce

Tre nt on, N e w Je rse y 0 8 6 2 5 - 0 9 0 8

AUTH ORI ZATI ON FOR DI RECT DEPOSI T OF BEN EFI T PAYMEN T

I f you choose not t o receive New Jersey Unem ploym ent I nsurance benefit paym ent s on t he Bank of Am erica debit card issued t o

you, t he only ot her m et hod of paym ent is direct

deposit int o

a personal checking/ savings account . Your financial inst it ut ion

m ust be a m em ber of t he Aut om at ed Clearing House net work.

Funds will norm ally be available in your account wit hin t wo (2)

full business days from t he day you claim benefit s by t elephone or

via t he

Internet. Pa ym ent s a re not

t ra nsm it t ed on

St a t e, Federal, or Bank ing holidays, or on

w eekends.

You

should

st ill verify t he deposit w it h

your fina ncia l

inst it ut ion prior to w riting checks or attem pting to access and use the benefit paym ents.

 

You can apply for direct deposit t o a personal

checking/ savings account at

m yunem ploym ent .nj .gov or by

com plet ing and

em ailing t his form to che ckm a ste r@dol.nj .gov .

I f you enrolle d in dire ct de posit online , you do not nee d to com plete

t his form .

 

 

 

 

 

I f you change your financial inst it ut ion or your account , you m yunem ploym ent .nj .gov or com plet e t his aut horizat ion form and em ail t o

m ay m ake t he necessary changes online at che ck m a st e r@dol.nj .gov .

N ot e : Please be advised t hat any claim inact ivit y of t went y- eight ( 28) days or longer will cause your m et hod of benefit paym ent t o aut om at ically revert t o a Bank of Am erica debit card. Your Bank of Am erica debit card is valid for four (4) years. You can use t he Bank of Am erica debit card, if you file for unem ploym ent insurance benefit s wit hin four (4) years from when you first received t he debit card.

To enroll in dire ct de posit , you m ust provide proof tha t you a re the ow ne r/ j oint ow ne r of t he a ccount . Acce pt a ble proof ca n be : 1) a voided check wit h your nam e and address im print ed on it ; 2) an account st at em ent showing your nam e and

address, financial inst it ut ion’s nam e and address and t he account num ber; or 3) a com plet ed direct deposit request form provided by your financial inst it ut ion. St art er checks are not accept ed. Do not include sect ions of t he financial st at em ent showing personal finances. Rem em ber t o provide t he nine- digit bank rout ing num ber .

Com plet e, sign and em ail t his aut horizat ion form wit h proof of account ownership t o check master@dol.nj .gov.

CLAI M AN T I N FORM ATI ON ( please print clearly)

Nam e: _______________________________________________

Social Securit y No.: ______________________________

Address: ______________________________________________

Telephone No.: _______________________________

______________________________________________

E- m ail Address: ________________________________

REASON FOR REQUEST ( check all t hat apply)

 

 

□ Begin Direct Deposit

□ St op Direct Deposit

□ Change Financial I nst it ut ion

□ Change Account Num ber

ACCOUN T I NFORM ATI ON (at t ach proof of account ownership)

 

Type of Account : □ Checking

□ Saving □ Brokerage/ I nvest m ent or ot her ( verify t hat t hey accept elect ronic t ransfers)

Financial I nst it ut ion/ BANK Rout ing Num ber ( 9 digit s)

Account Num ber ______________________________________________________

Financial I nst it ut ion Nam e and Address: ______________________________________________________________________

AUTHORI ZATI ON :

I aut horize t he NJLWD, Division of Unem ploym ent I nsurance t o

deposit m y benefit paym ent s t o t he

account specified. I

underst and t hat it is m y responsibilit y t o verify all benefit paym ent deposit s.

Signat ure of Cla im a nt : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Da te : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

REASON DI RECT DEPOSI T CAN N OT BE PROCESSED - Your applicat ion could not be processed due t o m issing inform at ion. Please resubm it t his form wit h t he m issing inform at ion checked below and em ail t o che ckm a ste r@dol.nj .gov .

□You did not sign t he form . □ You did not provide proof of ownership. □ You did not provide your Rout ing Num ber .

□Ot her

FOR AGENT USE ONLY: UI Agent Must Follow Secur it y Pr ocedur es for Maint aining Conf ident ial I nf or m at ion

PC ________

DOC ___________________ DATE ENTERED_______________________ AGENT_______________________

Pa ra Espa ñol Ve a El Lado I nve rso

BC- 502 ( R- 05 - 21)

N e w Je rse y De pa rt m e nt of La bor a nd W ork force De ve lopm e nt

Division of Une m ploy m e nt I nsura nce

Tre nt on, N e w Je rse y 0 8 6 2 5 - 0 9 0 8

AUTORI ZACI ON PARA DEPÓSI TO DI RECTO DE SUS PAGOS DE BEN EFI CI OS

Si ust ed elige no recibir sus beneficios de pago de la División del Seguro por Desem pleo de Nueva Jersey en la t arj et a de débit o del Banco de Am érica enviada a ust ed, la otra única opción que t iene es depósit o directo a su cuent a de cheques o ahorro. Su inst it ución financiera t iene que ser m iem bro de la red reconocida com o “ Aut om at ed Clearing House” ( ACH) . Norm alm ent e los

fondos est án disponible en

su cuent a dent ro de dos (2)

días de com ercio, del día en el cual reclam o sus beneficios sea por

t eléfono u

por el

I nt ernet .

Fondos no son t ra nsfe ridos e n día s de fiest a Fe dera les, Est at a les o durante fine s de

sem anas.

Uste d

de be de

ve rifica r e l de pósit o con

su inst it ución financie ra a nt es de e scribir che que s o inte nt a r

acceso cont ra el pago de beneficios.

Puede solicitar el depósito directo en una cuenta corriente/de ahorros personal en myunemployment.nj.gov o completando y enviando este formulario por correo electrónico a checkmaster@dol.nj.gov. Si se inscribió en el depósito directo en línea, no es necesario que complete este formulario.

Si cambia su institución financiera o su cuenta, puede hacer los cambios necesarios en línea en myunemployment.nj.gov o completar este formulario de autorización y enviar un correo electrónico a checkmaster@dol.nj.gov.

Aviso: Favor de est ar consient e que si su reclam ación no t iene act ividad en 28 días o m ás, el m ét odo de pago aut om át icam ent e

se cam bia a

la Tarj et a de Débit o del Banco de Am érica. Su t arj et a de débit o del Banco de Am érica es válida por cuat ro ( 4)

años. Ust ed puede usar la t arj et a de débit o del Banco de Am érica, si solicit o beneficios dent ro de cuat ro ( 4) años de la fecha en

la cual la recibió.

Pa ra inscribirse a l se r vicio de de pósit o dir e ct o, ust e d t ie ne que pr ove e r pr ue ba de se r due ño u due ño conj unt o de

la cuent a .

Prueba s a cept a bles pueden consist ir de: 1) Un cheque anulado con su nom bre y dirección im prim ida en el

cheque: 2)

Una copia de su fract ura de cuent a

bancaria que cont enga su nom bre y dirección, nom bre y dirección de la

inst it ución,

al igual que el núm ero de cuent a;

o 3)

Un form ulario com plet ado por su inst it ución financiera para depósit o direct o.

Cheques de cuent as nuevas sin su nom bre o

dirección im prim idas no son acept ados.

No incluya la sección de la fract ura que

cont enga los balances de su cuent a financieras personales. Recuérdese de incluir el

núm ero de nueve dígit os asignado a su

inst it ución

financiera de rut a y t ransm isión.

 

 

 

Complete, firme y envíe por correo electrónico este formulario de autorización con prueba de propiedad de la cuenta a checkmaster@dol.nj.gov.

I N FORMACI ON RECLAMEN TE ( Favor de escribir claram ente)

 

Nom bre: _______________________________________________

Núm . Seguro Social: ________________________________

Dirección: ______________________________________________

Núm De Teléfono: _________________________________

______________________________________________

Dirección de e- correo: ______________________________

 

MOTI VO DE SOLI CI TUD ( m arque t odos los que correspondan)

 

 

 

 

 

 

 

□ Com ienza el Depósit o Direct o

□ Dej ar el depósit o direct o

□ Cam biar I nst it ución Financiera □ Cam biar núm ero de cuent a

 

I N FORMACI ON DE CUENTA DE CHEQUE ( Agache prueba que es dueño de la cuent a)

 

 

 

Tipo de cuent a:

฀ Cheque

฀ Ahorro ฀Casa de I nversiones U ot ro tipo ( verifique que acept an t ransm isiones elect rónicas)

Num ero De Ruta Del Banco

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Num ero De Cuenta

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I nstitución Financiera; Nom bre y Dirección:

 

 

 

 

 

 

 

 

AUTORI ZACI ON :

Yo aut orizo al

NJLWD, División de Seguro por Desem pleo que deposite m is pagos a la cuent a especificada. Yo

 

ent iendo que es m i responsabilidad de verificar t odos los pagos deposit ados.

 

 

 

Firm a del Reclam ent e: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Fecha: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MOTIVO QUE EL DEPÓSITO DIRECTO NO PUEDE SER PROCESADO - Su solicitud no pudo

ser procesada debido a que falta información.

 

 

Vuelva a enviar

este

formulario

con

la información que falta marcada

a continuación y envíe un

correo electrónico a checkmaster@dol.nj.gov

.

□No firmo el formulario. □ No proveo prueba de ser dueño de la cuenta. □ No proveo el Numero de ruta y transmisión.

□Otra

FOR AGENT USE ON LY: UI Agen t Mu st Follow Secur it y Pr ocedur es for Maint ain in g Con fident ial I n for m at ion

PC _______ DOC___________________ DATE ENTERED_____________________ AGENT___________________________

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Form Bc 502 conclusion process described (step 1)

2. The third part would be to complete these fields: REASON DI RECT DEPOSI T CAN N OT, FOR AGENT USE ONLY UI Agent Must, DOC DATE ENTERED AGENT, BC R, and Pa ra Espa ñol Ve a El Lado I nve.

Tips to fill out Form Bc 502 stage 2

3. The next part is considered fairly straightforward, I N FORMACI ON RECLAMEN TE Favor, Nom bre, Núm Seguro Social, Dirección, Núm De Teléfono, Dirección de e correo, MOTI VO DE SOLI CI TUD m arque t, I N FORMACI ON DE CUENTA DE CHEQUE, Tipo de cuent a Cheque Ahorr o, Num er o De Rut a Del Banco, Num er o De Cuent a, I nst it ución Financiera Nom bre, AUTORI ZACI ON Yo aut orizo al, Firm a del Reclam ent e, and MOTIVO QUE EL DEPÓSITO DIRECTO NO - all these blanks needs to be filled out here.

Writing section 3 in Form Bc 502

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PC DOC DATE ENTERED AGENT, FOR AGENT USE ON LY UI Agent Must, and MOTIVO QUE EL DEPÓSITO DIRECTO NO inside Form Bc 502

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