Electronic transfer deposit authorization form: Fill out & sign online

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Click ‘Get Form’ to open the electronic transfer deposit authorization form in the editor.
Begin by entering your personal information in the designated fields, including your last name, first name, middle initial, and Member ID number.
Fill in your address details: street address, city, state, ZIP code, email address (required), and telephone number.
Select your bank's name and indicate whether you have a checking or savings account. Enter the routing number (9 digits) and your account number.
Specify the name on the account and choose whether this is an initial request, change of information, or termination request.
Attach a Voided Check or Savings Withdrawal Slip to ensure accurate banking information. If unavailable, include a letter from your bank with necessary details.
Review all entered information for accuracy before signing and dating the form at the bottom.
Submit your completed form by mailing it to the provided address or faxing it as indicated.

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