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Electronic Funds Transaction Authorization
Authorization Agreement for Direct Deposit. I authorize Continental American Insurance Company (CAIC) to initiate credit entries, and, if errors occur, I.
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authorization agreement for electronic funds transfer (eft)
Department of Insurance. INSTRUCTIONS FOR COMPLETING THE AUTHORIZATION AGREEMENT FOR. ELECTRONIC FUNDS TRANSFER (EFT) FORM. CDI TAX EFT 93-01 (Rev 06/2016).
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Electronic Funds Transfer Authorization Form
To request EFT of New York Medicaid funds, complete all sections of the form below. Questions about completing this form should be directed to eMedNY Call
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