MDL Preferred Payment Method MDL Preferred Payment Method Name* First and Last name for check or direct depositEmail* Is this a revised payment form?* No, this is not a revision Yes, this is a revised form If you've filled out this online form in the past and this is a revision (error before, change in account) please mark this as a revised form. Preferred Payment Type*Direct DepositCheckStreet Address* City, State* Zip* Bank Name* Bank Account Number* Checking or Savings?*CheckingSavings9 Digit Routing Number* Note: This number sometimes starts with a zero. Please include the zero.