MMAC USE ONLY BELOW THIS LINE 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Plan Name and Contract Number at the top of the form. Ensure these details are accurate as they are essential for processing.
3. In the Direct Deposit of Benefit Payments section, read through the authorization statement carefully. This confirms your agreement for direct deposits into your bank account.
4. Fill in your Payee and Bank Information. Include your full name, bank name, address, Social Security Number, and contact information. Double-check that all bank details are correct to avoid any issues with deposits.
5. Select whether you have a joint account and specify if it is a checking or savings account.
6. Finally, print and sign the form where indicated. Ensure that both payee and joint depositor signatures are included along with the date.

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