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AUTHORIZATION AGREEMENT FOR ELECTRONIC FUNDS TRANSFER (EFT) AUTOMATIC DEPOSITS/PAYMENTS This form must be completed by individual provider applicants or facilities that elect to receive payments from
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It is important to note that the specific requirements for the eft application nia 10-10doc form may vary depending on the jurisdiction and the purpose of the electronic funds transfer. Therefore, it is always advisable to carefully review the instructions provided with the application form to ensure compliance with the applicable regulations.
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