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S): New Direct Deposit Authorization New Electronic Payment Card Changes to Account Information Only If you fail to provide all the information requested on this form, your request will not be processed and this form will be returned to you. IV-D case Non IV-D case (ALL NON-DCSE IV-D (If you receive or have received cash assistance in the past, and/or have applied for IV-D services, or if you have an open case with DCSE, then your case is considered a IV-D case.) cases where only the loca.

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