Get Address Change/electronic Deposit Authorization Form

Filling out the Address Change/electronic Deposit Authorization Form is a straightforward process that allows users to update their personal information and authorize direct deposits efficiently. This guide will provide step-by-step instructions to help you complete the form online with ease.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the form and open it in your preferred editing program.
2. In the first section, provide the name of the participant company for which you are submitting the address change. If you receive multiple benefits, indicate whether you want this change to apply to all plans by selecting 'YES' or 'NO'. If you select 'NO', list the specific plan names and numbers.
3. Next, enter your participant name, including your first and last name, in the designated fields.
4. Fill in your social security number in the provided format, ensuring accuracy for proper identification.
5. In the permanent address change section, provide your new address. If the address change is temporary, check the appropriate box. Ensure all fields, including address lines, city, state, and ZIP code, are filled out accurately.
6. Indicate whether you wish to cancel your current direct deposit and have payments sent to your home address by checking the corresponding box.
7. Select the account type from the options provided: US Checking, US Savings, Canadian Checking, or Canadian Savings.
8. Enter your bank routing number. If unsure, contact your bank for the correct routing number.
9. Provide your account number in the specified format.
10. If applicable, check the box to confirm that 100% of the deposit will be transferred to a non-U.S. bank from your U.S. bank account.
11. Read the statement regarding verification, discrepancies, and your authority's duration. Proceed to sign and date the form in the participant signature and date fields.
12. Finally, save your changes, and download, print, or share the completed form as needed.

Complete your address change and electronic deposit authorization form online today for a seamless update!