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ACH Debit Authorization HE 2557 Member WEBB Use Only Approved by Date Effective Date See the second page for more information on ACH debit authorizations. 1. I am: (check one) Authorizing WEBB to

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3. If the form requires information about your employment or educational background, ensure that you accurately provide all the necessary details. This may include your current or previous job title, employer name, dates of employment, educational institutions attended, degrees obtained, and any relevant certifications or qualifications.
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6. Carefully review your answers before submitting the form. Double-check for any spelling or grammatical errors, as well as any missing or incomplete information.
7. If required, attach any supporting documentation or additional materials that are specified in the form's instructions. Ensure that these documents are organized and properly labeled before submitting.
8. Finally, once you have completed the form, sign and date it in the designated areas. This signifies your understanding and agreement to the information provided.

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