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Get Emerald Prepaid MasterCard Direct Deposit Authorization Form

Take control of your financial life Sign up for FREE direct deposit Using the H R Block Emerald Prepaid MasterCard is a great way to manage your money year-round by having your payroll or government benefits Social Security Medicare Unemployment Disability Welfare Military etc. direct deposited to your Emerald Card. Direct deposit is an easy and convenient way to have faster access to your money. Just provide the completed form below to your employer or government agency. You can load all or a portion of your money to the Emerald Card In some cases you can even receive your money earlier than with a paper check Save time and money by avoiding check-cashing fees and money orders Always know when your money has been deposited to your card. You can load all or a portion of your money to the Emerald Card In some cases you can even receive your money earlier than with a paper check Save time and money by avoiding check-cashing fees and money orders Always know when your money has been deposited to your card. Enroll in Mobile Updates and you ll receive a text message anytime you add or remove money from your card or if you just want to know your balance. Enroll online at onlinecardaccess. com/hrblockcard If you change jobs or begin receiving additional benefits you can continue using direct deposit by completing a new direct deposit authorization form. Additional copies of the form are available online at hrblock. Direct Deposit Authorization Form Sign and date the bottom of this form and provide information to your employer or government agency to enroll in direct deposit. Name Address City State Zip Choose the amount to be loaded each pay period 100 of check Other of check Set amount Signed Date Note to Payroll Administrators For more information about this program please contact H R Block at 1-866-353-1266 The H R Block Emerald Prepaid MasterCard is issued by H R Block Bank a Federal Savings Bank member FDIC pursuant to a license from MasterCard International Incorporated. Fees may apply. MasterCard is a registered trademark of MasterCard International Incorporated. H R Block Emerald Card is a registered trademark and Emerald Card is a trademark of HRB Innovations Inc. This product may not be available at some locations. Direct deposit is an easy and convenient way to have faster access to your money. Just provide the completed form below to your employer or government agency. You can load all or a portion of your money to the Emerald Card In some cases you can even receive your money earlier than with a paper check Save time and money by avoiding check-cashing fees and money orders Always know when your money has been deposited to your card. Enroll in Mobile Updates and you ll receive a text message anytime you add or remove money from your card or if you just want to know your balance. Enroll online at onlinecardaccess. com/hrblockcard If you change jobs or begin receiving additional benefits you can continue using direct deposit by completing a new direct deposit authorization form* Additional copies of the form are available online at hrblock. .

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