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NOTE TO EMPLOYER: Any questions, please call toll-free 855-85 ... 2025

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The document is a Direct Deposit Form for the Xpectations! Visa Prepaid Card, allowing individuals to authorize their employer or payor to deposit funds directly into their prepaid card account. It includes sections for personal information, routing and account numbers, and outlines the terms of authorization, including limitations on the use of the account for preauthorized debits. Additionally, it provides contact information for employers and details about compliance with federal identification requirements.

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