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Get Ustla 53 Form

For life insurance and service credit and make Voluntary Contributions by automatic deductions from your checking or savings account without writing a check and mailing your payments. We deduct for life insurance at the beginning of each month. We deduct service credit and voluntary contributions payments as you specify and mail you a receipt after each deduction. Please check one: New Enrollment Change Enrollment Discontinue Pre-Authorized Direct Payment Service Staple voided check from c.

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