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Get CA SOC 829 2010

ER FIRST MIDDLE INITIAL STREET CITY LAST STATE ZIP CODE Check Appropriate Box: ■ NEW By checking this box, I hereby authorize the State Controller’s Office to directly deposit my pay warrants to my personal bank account. ■ CHANGE By checking this box, I hereby authorize the State Controller’s Office to change my Direct Deposit to my new personal bank account. ■ CANCEL By checking this box, I hereby cancel my Direct Deposit authorization. CASE NUMBER: (MUST BE 10 NUMBERS) .

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