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Direct Deposit Information Form Three Easy Steps To Set Up Direct Deposit Step 1 Gather Account Information Name Social Security number Address City State Zip Member Signature Date MIDFLORIDA s Routing Number 263179804 Account Number/MICR You can find your checking or savings account number within Online Banking or on your account statement. You can also find your checking account number on the bottom of your checks. Step 2 Contact Your Employer or Payor Use the table below to contact your payor to learn if direct deposit is available and to provide your account information* Your payor may need you to complete a form or provide a voided check to process your request. Type of Direct Deposit Salary/Wages Pension Dividend/Investment Income Existing Enrollment New Enrollment To change the bank currently receiving deposits electronically To change your paper checks to electronic deposits Contact your employer or other payor directly with the information on this form* Social Security SSA Supplemental Security Income SSI Call 1-800-772-1213 1-800-325-0778 TTY Railroad Retirement Call 1-877-772-5772 1-312-751-4701 TTY Civil Service Retirement Office of Personal Management Call 1-888-767-6738 1-800-878-5707 TTY Veterans Compensation and Pension Other Federal Agency Benefits Visit a MIDFLORIDA branch near you or www. godirect. org or call Go Direct at 1-800-333-1795. Call 1-877-838-2778 1-800-829-4833 TTY or visit a MIDFLORIDA Branch near you. Contact the agency directly. Or call Go Direct at 1-800-333-1795 to get the telephone numbers of many federal agencies. Step 3 Monitor Your Account Access your account with free Online or Mobile Banking to monitor your transactions and confirm your direct deposit posts to your account correctly. You can also find your checking account number on the bottom of your checks. Step 2 Contact Your Employer or Payor Use the table below to contact your payor to learn if direct deposit is available and to provide your account information* Your payor may need you to complete a form or provide a voided check to process your request. Type of Direct Deposit Salary/Wages Pension Dividend/Investment Income Existing Enrollment New Enrollment To change the bank currently receiving deposits electronically To change your paper checks to electronic deposits Contact your employer or other payor directly with the information on this form* Social Security SSA Supplemental Security Income SSI Call 1-800-772-1213 1-800-325-0778 TTY Railroad Retirement Call 1-877-772-5772 1-312-751-4701 TTY Civil Service Retirement Office of Personal Management Call 1-888-767-6738 1-800-878-5707 TTY Veterans Compensation and Pension Other Federal Agency Benefits Visit a MIDFLORIDA branch near you or www. Type of Direct Deposit Salary/Wages Pension Dividend/Investment Income Existing Enrollment New Enrollment To change the bank currently receiving deposits electronically To change your paper checks to electronic deposits Contact your employer or other payor directly with the information on this form* Social Security SSA Supplemental Security Income SSI Call 1-800-772-1213 1-800-325-0778 TTY Railroad Retirement Call 1-877-772-5772 1-312-751-4701 TTY Civil Service Retirement Office of Personal Management Call 1-888-767-6738 1-800-878-5707 TTY Veterans Compensation and Pension Other Federal Agency Benefits Visit a MIDFLORIDA branch near you or www. godirect. org or call Go Direct at 1-800-333-1795. Call 1-877-838-2778 1-800-829-4833 TTY or visit a MIDFLORIDA Branch near you.

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