PSCPEPP1 012016Commonwealth of Pennsylvania Electronic Payment Program (PPP) Enrollment Form ACTION REQUESTED:CHANGE BANK INFORMATION**** FORM WITH INCOMPLETE FIELDS WILL BE RETURNED. Form WILL NOT.

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How to fill out the PA PSC-PEPP-1 online

The Pennsylvania Electronic Payment Program (PEPP) Enrollment Form, known as PA PSC-PEPP-1, is essential for users wishing to change their bank information for payments. This guide will provide a step-by-step approach to completing the form online, ensuring that you submit accurate information for processing.

Follow the steps to successfully complete the PEPP enrollment form online.

  1. Select the ‘Get Form’ button to obtain the PA PSC-PEPP-1 form and open it in your preferred online editor.
  2. Enter your Tax Identification Number in the designated box. If you are an individual, provide your Social Security Number; if you are a business entity, enter your Employer Identification Number.
  3. Clearly indicate the type of payments you anticipate receiving from the relevant agency or grant.
  4. Type in your legal name as it appears on your IRS W-9 form.
  5. Complete your street address or PO Box, along with your city, state, and zip code for accurate correspondence.
  6. Provide the name and contact details of the person filling out the form, including their title and email address.
  7. Fill in the financial institution's details, including the bank name and its address.
  8. Enter the name and contact information of the ACH coordinator at the financial institution.
  9. Specify the account type by checking either the ‘Checking’ or ‘Savings’ box.
  10. Input the Bank Transit Routing Number and your Bank Account Number, ensuring there are no unnecessary spaces.
  11. If you are updating bank information, complete the old routing and account numbers that will be deleted.
  12. Sign and date the form, providing your title and contact information to certify the accuracy of the information entered.
  13. Review the form to ensure all segments are complete before saving your changes, downloading a copy, or printing the form for submission.

Finalize your documents and complete the PA PSC-PEPP-1 form online.

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