Authorization Agreement EFT - dhhs nh 2026

1. Click ‘Get Form’ to open the Authorization Agreement EFT - dhhs nh in the editor.
2. Begin by selecting the type of request: either 'Initial Direct Deposit Enrollment' or 'Change of Direct Deposit Financial Institution'.
3. Fill in your name as the payee, including your last name, first name, and middle initial. Ensure accuracy for identification purposes.
4. Enter your current mailing address, including street, city, state, and ZIP code. This is crucial for correspondence regarding your payments.
5. Provide your Social Security number for identification purposes only. This information is sensitive; ensure it is entered correctly.
6. Select the type of depositor account (Checking or Savings) and enter both your depositor account number and bank routing number accurately.
7. If you are using a checking account, upload a preprinted blank check marked 'VOID' to verify your account details.
8. Review all entered information carefully before signing and dating the form to authorize direct deposit into your designated account.

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