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ATTACH VOIDED CHECK HERE
To enroll in full service direct deposit, simply fill out this form and attach a voided check for each checking account. Please DO NOT attach or.
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**A VOIDED CHECK MUST BE ATTACHED** TAPE VOIDED
Completion of this form authorizes your disability benefit payment to be deposited directly into a checking or savings account via Automated Clearing House
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Electronic Funds Transfer Authorization Form
Attach one of the following banking documents to the first page of EFT Authorization Form packet: a. For Checking Accounts: An original blank check from the
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