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.