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Bank Authorization for Payment of City Services Bill
Web(e.g. account or bank changes) Reason for Submission: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES Form Approved OMB No. 0938-0626. ELECTRONIC FUNDS TRANSFER (EFT) AUTHORIZATION AGREEMENT. PART I: REASON FOR SUbMISSION Ne. w EFT Authorization . Check … Web1. Complete this form. 2. Attach a new U.S. Bank check to the completed form and write “VOID” across the front. Do not sign the check. 3. Submit to your employer. Follow-up on the switch: 1. Call your company’s Human Resources department to check on the progress of your request. 2. Login to U.S. Bank online banking to verify phl to vineland nj
Direct Deposit Form - Citi
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