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DIRECT DEPOSIT SIGN-UP FORM
A separate form must be completed for each type of payment to be sent by Direct Deposit. The claim number and type of payment are printed on Government checks.
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PAYROLL AUTHORIZATION FOR DIRECT DEPOSIT
I hereby authorize my employer, through the State Treasurer, to deposit my net pay and/or distributions to the financial institution(s) listed above. My
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Electronic Funds Transfer Authorization Agreement CMS-588
PART I: REASON FOR SUBMISSION. Indicate your reason for completing this form by checking the appropriate box: New EFT enrollment or change to your EFT.
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