Follow the steps to complete the Citibank 8504 form.

1. Press ‘Get Form’ button to access the form and open it in the editor.
2. Start with Section I titled 'Reinstatement Request Details'. Indicate if a replacement card is required by selecting 'Yes' or 'No'. If 'Yes', also choose the desired delivery timeframe.
3. Proceed to Section II titled 'Cardholder Information', which must be completed by the employee. Fill in required fields marked with an asterisk. Include the cardholder's name, last 6 digits of the account number, date of birth, and Social Security Number.
4. Continue filling out the contact details, including mail to attention, primary address, home/physical address, business office phone, and email address.
5. If applicable, complete the alternate address section for a one-time mailing of the replacement card.
6. Move to Section III for 'Agency Program Coordinator Information'. This part must be completed by the Agency Program Coordinator. Include the central account number and hierarchy level, ensuring you complete all required fields.
7. Both the applicant and supervisor need to sign in the 'Signature and Agreement' section, acknowledging the agreement and eligibility for reinstatement. Make sure all signatures are dated.
8. After reviewing all sections for completeness and accuracy, save changes to the form. You can then download, print, or share the form as needed.

Complete your Citibank 8504 form online today to ensure a smooth reinstatement process.