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PREFERREDBLUE ACCOUNT ELECTION FORENAME:DATEOFBIRTH:STREETADDRESS:CITY, STATE, ZIP:EMPLOYER NAME:GROUP NUMBER:SOCIALSECURITY:EFFECTIVEDATE:my employer and I agree that my pay will be reduced by the
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The preferred blue account election is an option for individuals to designate a specific bank account for receiving payments from a certain source.
Individuals who want to receive payments to a designated bank account must file a preferred blue account election.
Preferred blue account election form should be filled out with personal information, bank account details, and signature.
The purpose of preferred blue account election is to ensure payments are deposited into the correct bank account.
Personal information, bank account details, and signature must be reported on preferred blue account election.
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