
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.
- Select the ‘Get Form’ button to obtain the PA PSC-PEPP-1 form and open it in your preferred online editor.
- 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.
- Clearly indicate the type of payments you anticipate receiving from the relevant agency or grant.
- Type in your legal name as it appears on your IRS W-9 form.
- Complete your street address or PO Box, along with your city, state, and zip code for accurate correspondence.
- Provide the name and contact details of the person filling out the form, including their title and email address.
- Fill in the financial institution's details, including the bank name and its address.
- Enter the name and contact information of the ACH coordinator at the financial institution.
- Specify the account type by checking either the ‘Checking’ or ‘Savings’ box.
- Input the Bank Transit Routing Number and your Bank Account Number, ensuring there are no unnecessary spaces.
- If you are updating bank information, complete the old routing and account numbers that will be deleted.
- Sign and date the form, providing your title and contact information to certify the accuracy of the information entered.
- 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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