Tricare for life eft enrollment online 2026

1. Click ‘Get Form’ to open it in the editor.
2. In Part I, select the reason for submission: whether it's a new EFT authorization, a revision, or a termination request.
3. Proceed to Part II and enter your provider or supplier information. Fill in your name, legal business name, and tax identification number accurately.
4. In Part III, provide depository information. Enter your bank's name, account holder’s details, and routing number. Ensure all fields are completed to avoid processing delays.
5. Complete Part IV by entering the contact person's information responsible for this agreement.
6. Finally, sign and date the authorization in Part V to certify that all provided information is correct and that you have sole control of the account.

Start filling out your TRICARE for Life EFT Enrollment form online today for free!