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Change of payment account details form - Department of Human - humanservices gov

Change of payment account details form - Department of Human - humanservices gov 2025

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This document is a form for individuals to change their bank, building society, or credit union account details for receiving payments from Centrelink. It includes sections for personal information, payment type, partner details, and account information. The form emphasizes the importance of providing accurate information and outlines privacy protections under the Privacy Act 1988.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated fields, including your family name and given names. If you have previously used another name, indicate this and provide details as necessary.
Input your Centrelink Reference Number if known, along with your contact phone number for any follow-up communications.
Specify the type of payment you receive and answer whether you have a partner who receives family assistance or a Centrelink payment.
Indicate where you want your payments made by providing the bank, building society, or credit union account details. Ensure that the account is in your name or a joint account.
Complete the declaration statement at the end of the form, ensuring all information is accurate before signing and dating it.

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What is the DHS absent parent form in Arkansas?

What is the absent parent form for Medicaid in Arkansas? Form DCO-116, Client Statement Regarding Absent Parent, is used to collect information from the Medicaid client about an absent parent. The DCO-116 is an optional form to be used when securing absent parent information through the mail.

How do I change my address on Access Arkansas?

Clients should: Update their address, phone, and email by calling the Update Arkansas hotline at 1- 844-872-2660. Clients also can go online at .access.arkansas.gov, create an account, and update their information or visit their local DHS county office. (Find your local county office here.)