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Group Benefits Extended Health Care Claims To be completed by the plan member unless otherwise indicated. Original receipts must be attached for all expenses. (Please attach to the back of this form.)
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What is sign up for direct?
Sign up for direct is a form that allows individuals or organizations to register for direct deposit of payments.
Who is required to file sign up for direct?
Any individual or organization that wants to receive payments via direct deposit is required to file a sign up for direct.
How to fill out sign up for direct?
To fill out a sign up for direct, you need to provide your personal or organization's bank account information, contact details, and any other required information as per the form.
What is the purpose of sign up for direct?
The purpose of sign up for direct is to facilitate the direct deposit of payments to the designated bank account, eliminating the need for paper checks.
What information must be reported on sign up for direct?
On sign up for direct, you must report your bank account number, routing number, name, address, and contact information.
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