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Back of this form and fill in the information requested in Sections 1 and 2. Then take or mail this form to the financial institution. The financial institution will verify the information in Sections 1 and 2, and will complete Section 3. The completed form will be returned to the Government agency identified below. A separate form must be completed for each type of payment to be sent by Direct Deposit. The claim number and type of payment are printed on Government checks. (See the sample check.

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How to use or fill out the Amazon online

Filling out the Amazon online form can be a straightforward process if you follow the correct steps. This guide will provide clear instructions to help you navigate the form efficiently.

Follow the steps to accurately complete the form.

  1. Press the ‘Get Form’ button to obtain the form and access it for completion.
  2. Fill out Section 1, providing your name as the payee, address, and telephone number. Ensure your name is entered exactly as it appears on any related government documentation.
  3. In Section 1, indicate your type of depositor account (either checking or savings) by marking the appropriate box. Additionally, enter your depositor account number.
  4. Select the type of payment you will receive, such as Social Security or military survivor benefits, by checking only one option in the provided list.
  5. Complete Section 2 by providing the government agency's name and address responsible for sending the payment.
  6. In Section 3, the financial institution will enter its information, including the routing number and deposit title. Ensure this section is filled out by a representative from your financial institution.
  7. Sign and date the certification section to confirm your entitlement to the payment and authorize the deposit into the specified account.
  8. Once all sections are completed, submit the form to your financial institution for verification. They will complete the necessary fields and return the finalized form to the appropriate government agency.
  9. After submission, keep copies of the completed form for your records. You may save changes, download, or print the form for documentation.

Complete your forms online today to ensure timely processing of your payments.

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