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Click ‘Get Form’ to open it in the editor.
In Section 1, enter your name as the payee, ensuring it matches the name on your government check. Fill in your address, including street, city, state, and ZIP code.
Select the type of depositor account (checking or savings) and provide your account number.
Indicate the type of payment you are receiving by checking one box from the options provided.
Complete Section 2 with the name and address of the government agency responsible for your payments.
In Section 3, have a representative from your financial institution fill out their information and certify that they will process your direct deposit.
Review all sections for accuracy before submitting. Once completed, save and send the form to your financial institution using our platform's sharing features.
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DIRECTIONS. To sign up for Direct Deposit, the payee is to read the back of this form and fill in the information requested in Sections 1 and 2.Read more
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