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How to use or fill out PSC-PEPP-1 Commonwealth of Pennsylvania Enrollment Form
- Click ‘Get Form’ to open it in the editor.
- Begin by selecting the action requested at the top of the form: NEW, CHANGE, or STOP. Ensure you check only one box.
- In the Recipient Information section, enter your Tax Identification Number. For individuals, this is your Social Security Number (SSN); for entities, provide your Employer Identification Number (EIN).
- Fill in your legal name as it appears on IRS documents, along with your complete address including city, state, and zip code.
- Provide contact information for the person filling out the form, including their title, phone number, and email address.
- In the Financial Institution Information section, enter your bank's name and address. Specify the ACH coordinator's details and account type (checking or savings).
- Complete any additional fields if you are making a change to an existing account and ensure all required signatures are provided before submission.
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