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ELECTRONIC FUNDS TRANSFER AUTHORIZATION FORM FOR WV PEA, WV CHIP and Access WV The information concerning your organization's financial institution will be used to make electronic fund transfer (EFT)
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How to fill out peia eft form
How to fill out peia eft form:
01
Ensure you have the necessary information and documents ready, such as your bank account details and employee identification number.
02
Begin by filling out your personal information, including your name, address, and contact details.
03
Provide your bank account information accurately, including the account number and routing number.
04
Indicate whether you would like the funds deposited into a checking or savings account.
05
If you have multiple bank accounts, specify which one you want the funds deposited into.
06
If you are not the primary account holder, include the name of the account holder and your relationship to them.
07
Fill in the employee identification number provided by your employer.
08
Review all the information you have entered to ensure it is correct and accurate.
09
Sign and date the form as required.
10
Submit the completed form to the appropriate department or person as instructed by your employer.
Who needs peia eft form:
01
Employees who wish to have their payment from the Public Employees Insurance Agency (PEIA) deposited directly into their bank account.
02
Employers who require their employees to submit the PEIA EFT form in order to process their wage payments electronically.
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What is peia eft form?
The peia eft form is a form used to authorize electronic funds transfer for the Public Employees Insurance Agency (PEIA).
Who is required to file peia eft form?
All individuals or entities who receive payments from PEIA are required to file the peia eft form.
How to fill out peia eft form?
To fill out the peia eft form, you need to provide your banking information, including the bank account number, routing number, and authorized signature.
What is the purpose of peia eft form?
The purpose of the peia eft form is to authorize PEIA to make electronic payments directly to your bank account, ensuring a faster and more secure payment process.
What information must be reported on peia eft form?
The peia eft form requires you to report your banking information, including the bank account number, routing number, and authorized signature.
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