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FACTS Direct Deposit Change - West Virginia State Auditor's Office - wvsao

FACTS Direct Deposit Change - West Virginia State Auditor's Office - wvsao 2025

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The document outlines the process for changing direct deposit account information for providers in the Families And Children Tracking System in West Virginia. It requires specific details about the provider and their current and new financial institutions, along with authorization for the state to initiate credit and debit entries. Additionally, it specifies the necessary documentation to process the change and provides contact information for further inquiries.

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Click ‘Get Form’ to open the FACTS Direct Deposit Change document in the editor.
Begin by filling in your *Provider Number*, *Provider Name*, and *Address* details. Ensure all required fields marked with an asterisk are completed.
Provide your *Telephone #*, *City*, *State*, and *Zip Code*. This information is essential for processing your request.
In the 'CHANGE ACCOUNT INFORMATION FROM' section, enter the current financial institution details including the name, routing number, and account number for both checking and savings accounts.
Next, fill out the 'CHANGE ACCOUNT INFORMATION TO' section with the new financial institution's details. Again, include both checking and savings account information as applicable.
Attach a voided check or a letter from your new financial institution as specified in the form instructions to ensure proper processing of your request.
Finally, sign and date the form in the designated areas. Make sure to print your name and title if applicable before submitting it.

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