PSC-PEPP-1 Commonwealth of Pennsylvania Pennsylvania ... 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the action requested at the top of the form: NEW, CHANGE, or STOP. Ensure you check only one box.
3. 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).
4. Fill in your legal name as it appears on IRS documents, along with your complete address including city, state, and zip code.
5. Provide contact information for the person filling out the form, including their title, phone number, and email address.
6. 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).
7. 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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