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  • Electronic Fund Transfer (eft) /direct Deposit Authorization Form - Afspa

Get Electronic Fund Transfer (eft) /direct Deposit Authorization Form - Afspa

Electronic Fund Transfer (EFT) /Direct Deposit Authorization Form The undersigned Foreign Service Benefit Plan Member (Member) hereby: (1) authorizes Aetna Life Insurance Company and its affiliates.

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How to fill out the Electronic Fund Transfer (EFT) /Direct Deposit Authorization Form - Afspa online

Filling out the Electronic Fund Transfer (EFT) /Direct Deposit Authorization Form - Afspa online can streamline the payment process for users. This guide provides clear, step-by-step instructions to effortlessly complete the form, ensuring that your banking information is accurately submitted for direct deposits.

Follow the steps to complete your EFT/Direct Deposit Authorization Form online.

  1. Press the ‘Get Form’ button to access the form and open it in your selected editor.
  2. Begin by entering your name in the 'Enrollee (Last, First, MI)' field along with your Member ID number. This information verifies your identity with Aetna.
  3. Next, provide your address, including city, state, and zip code. Accurate contact information is crucial for future correspondence.
  4. Input your email address, which is required for electronic communication, and telephone number for any follow-up inquiries.
  5. Select your bank name and indicate the type of account you are using by checking either 'CHECKING' or 'SAVINGS'.
  6. Fill in your routing number (9-digit) and account number, ensuring that these numbers match those provided by your bank.
  7. Complete the field labeled 'Name on Account' with the name associated with the bank account to confirm ownership.
  8. Choose one option from 'Change of Information', 'Termination Request', or 'Initial Request' based on your needs.
  9. Staple a Voided Check or Savings Withdrawal Slip to the form where indicated. If you do not have these, attach a letter from your bank stating the correct account information.
  10. Review your entries for accuracy. This authorization will stay effective until Aetna receives written notification of any changes or termination from you.
  11. Sign and date the form in the designated areas to certify that all information provided is correct.
  12. Finally, mail your completed form to the FOREIGN SERVICE BENEFIT PLAN at the provided P.O. Box address, or opt to fax it as per your convenience.

Complete your Electronic Fund Transfer (EFT) /Direct Deposit Authorization Form online today for a seamless payment experience.

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Get Electronic Fund Transfer (EFT) /Direct Deposit Authorization Form - Afspa
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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Electronic Fund Transfer (EFT) /Direct Deposit Authorization Form - Afspa
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