DIRECT DEPOSIT ELECTRONIC FUNDS TRANSFER (EFT) AUTHORIZATION 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Section 1, select the type of transaction: Add, Change, or Close. Fill in your provider name and choose either EIN or SSN based on your enrollment.
3. Enter your Federal Identification Number (FIN) or Social Security Number (SSN), along with your address details including city, state, and zip code.
4. Provide your telephone number and certify that you understand the form's information by signing and dating it.
5. In Section 2, enter the name and address of your bank. Include the routing number and account holder name, then specify whether it's a checking or savings account.
6. Attach a voided check for checking accounts or a bank printed account verification for savings accounts before submitting the form to the specified address.

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