Direct Deposit or Utah Debit MasterCard® Card
Utah Code Annotated 62A-11-704 requires the Office of Recovery Services (ORS)
To send child support payments through electronic funds transfer.
THIS MEANS THAT ORS WILL NO LONGER SEND PAPER CHECKS.
Enclosed is the Electronic Payment Enrollment Form.
If you have not already selected a method for receiving future support payments automatically,
please take the following steps within thirty (30) days of receiving this form:
Review the information about Direct Deposit and Utah Debit MasterCard® Card.
Choose which way you wish to receive payments in the future.
Complete the Electronic Payment Enrollment Form.
Return the completed form.
If you are requesting Direct Deposit, you must include a voided check or copy of
your bank statement preprinted with the bank’s name, your name, address and full
account number.
IF YOU DO NOT SELECT A METHOD FOR RECEIVING FUTURE CHILD SUPPORT PAYMENTS,
IF YOU FAIL TO COMPLETE THE ENROLLMENT FORM, AND/OR
IF YOU FAIL TO PROVIDE ALL OF THE REQUIRED INFORMATION FOR DIRECT DEPOSIT,
ORS WILL ENROLL YOU IN THE UTAH DEBIT MASTERCARD® CARD PROGRAM.
How is Direct Deposit different than the Utah MasterCard® Card?
Direct Deposit
Utah Debit MasterCard® Card
Payments are deposited in your bank account.
Payments are deposited into a separate account used for
your support payments.
Access these funds the same ways you use any other
money in your account.
Access these funds by using your Utah Debit MasterCard®
Card to make purchases or to withdraw cash anywhere
that MasterCard® is accepted.
A record of deposits will appear on your bank statement.
Balance and account information is available 24 hours a
day, every day.
No additional fees.
There is an $0.85 transaction fee for all out-of-network
ATM withdrawals not conducted at MoneyPass ATMs.
Some ATMs also surcharge; use MoneyPass ATMs to avoid
the surcharge fee. $1.50 per month may be charged after
12 months of inactivity following activation of your card.
Why do you need my Social Security number?
Based on section 466(a)(13) of the Social Security Act [42 U.S.C. 666(a)(13)] it is mandatory for a state’s child
support enforcement program to request social security account numbers in order to locate individuals for
purposes of establishing paternity and establishing, modifying, and enforcing support obligations.
If you have questions about the application process for Direct Deposit or for Utah Debit MasterCard® Card,
please call: (801)536-8500.
Return the completed Electronic Payment Enrollment Form (and a voided check or copy of your bank statement,
if you are requesting direct deposit) to:
OFFICE OF RECOVERY SERVICES
ATTN: EFT UNIT
PO BOX 142450
SALT LAKE CITY, UT 84114-2450
Utah Child Support Prepaid Card issued by Comerica
You have two options to receive your payments: direct deposit to your bank account; or this
prepaid card. You do not have to accept this prepaid card. Ask about other ways to receive
your funds.
Monthly Fee
Per purchase
ATM Withdrawal
Cash reload
$0
$0
$0 in-network
N/A
$0.85* out-of-network
ATM balance inquiry
$0
Customer Service (automated or live agent)
$0
Inactivity (after 12 months with no transactions)
$1.50 per month
We charge 2 other types of fees. Here are some of them:
Card replacement fee (regular or expedited delivery)
$0.00 or $13.00*
Int’l transaction (excluding ATM withdrawal and balance inquiry fee)
3% of the transaction
amount
* This fee can be lower depending on how and where this card is used. See separate disclosure for ways
to access your funds and balance information for no fee.
No overdraft/credit feature.
Your funds are eligible for FDIC insurance.
For general information about prepaid accounts, visit cfpb.gov/prepaid.
Find details and conditions for all fees and services in the cardholder agreement.
List of all fees for Utah Way2Go Card Prepaid Card
All Fees
Amount
Details
Get Started
Card Purchase
$0.00
There is no fee to obtain a Card account.
Spend Money
Point-of-sale (POS)
$0.00
There is no fee for POS purchase transactions conducted in the U.S. using your signature
or PIN number.
Get Cash
ATM withdrawal (in network)
$0.00
There is no fee for ATM withdrawals conducted at MoneyPass ATM locations. In-network
locations can be found at moneypass.com/atm-locator.html. When using your card at an
ATM, the maximum amount that can be withdrawn from your Card account per calendar
day is $500.00.
ATM withdrawal (out-of-network)
$0.85
This is our fee. “Out-of-network” refers to ATMs outside of the MoneyPass Network. You
will be assessed a fee for each ATM withdrawal conducted at an out-of-network ATM.
You may also be charges a fee by the ATM operator, even if you do not complete a
transaction. When using your card at an ATM, the maximum amount that can be
withdrawn from your Card account per calendar day is $500.00
Teller-assisted cash withdrawal (OTC)
$0.00
There is no fee for teller-assisted cash withdrawals conducted at Mastercard Member
Bank or Credit Union teller windows.
Information
ATM balance inquiry
$0.00
You are allowed unlimited ATM balance inquiries for no fee at in-network and out-of-
network ATMs.
Customer service (automated or live
agent)
$0.00
You are allowed unlimited calls to Customer Service Interactive Voice Response (IVR) for
no fee each month to check your balance or hear your transaction history.
Using your card outside the U.S.
International transaction fee
3%
Conversion rate is a Mastercard fee for each transaction amount conducted outside the
U.S.
Other
Card replacement
$0.00
There is no fee to replace your Card send by regular mail. Standard delivery (7 to 10
calendar days).
Expedited card delivery
$13.00
If you request your replacement card to be expedited rather than receiving it by regular
mail, you will be assessed the expedited card delivery fee, in addition to any applicable
card replacement fee. Expedited card delivery can be expected within 3 to 5 calendar
days.
Inactivity fee
$1.50
This is our fee. After 12 months of inactivity, following the activation of your Card, we will
assess the fee in the month following the 12 month period of inactivity, and each
consecutive month of inactivity, thereafter. Inactivity is defined as no deposits,
purchases, calls to the automated or live customer service, cash withdrawals, ATM
balance inquiries, or fund transfers for 12 consecutive months. The inactivity fee will not
be charges after the Card account balance reaches zero ($0.00) or after the Card account
begins to have activity.
Your funds are eligible for FDIC insurance and will be held at or transferred to Comerica Bank, and FDIC-insured institution. Once there, your
funds are insured up to $250,000 by the FDIC in the event Comerica Bank fails, if specific deposit insurance requirements are met. See
fdic.gov/deposits/prepaid.html for details.
No overdraft/credit feature.
Contact Go Program Customer Service by calling 1-800-241-9499, by mail at P.O. Box 245997, San Antonio, TX 78224-5997 or visit
www.GoProgram.com.
For general information about prepaid accounts, visit cfpb.gov/prepaid.
If you have a complaint about a prepaid account, call the Consumer Financial Protection Bureau at 1-855-411-2372 or visit cfpb.gov/complaint.
05776UT-LF-018
Electronic Payment Enrollment Form
Part I: Required Information
Complete all information in this section to enroll in Direct Deposit
or to receive the Utah Debit MasterCard® Card
Please select ONE of the following options:
Direct Deposit
OR
Utah Debit MasterCard® Card
Signature
Date (mm/dd/yyyy)
Your Name: Please make sure this is your name as it appears on your bank account
if you are enrolling for Direct Deposit.
Last Name
First Name
Middle Initial
Your Social Security Number
Phone Number
–
–
Your Current Address: Street, Route, PO Box
City
State
ZIP Code
Would you like to be notified by an automated phone messaging system when a payment is sent to your account?
Yes OR No
Part II: Financial Institution for Direct Deposit
Complete this section ONLY if you are enrolling in Direct Deposit.
If you are requesting the Utah Debit MasterCard® Card, DO NOT complete this section.
Name of Your Financial Institution
Address
City
State
ZIP Code
Your Account Type:
Checking
OR
Savings
You MUST enclose a pre-coded, voided check or a copy of your bank statement that shows your
name and account number
Your Account Number
Routing Number (This is the 9-digit number on the bottom of your check or
deposit slip)
