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Get Direct Deposit Form

He payee is to read the 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. The claim number and type of payment are printed on Government checks. (See the sample check on the back of this form.) This information is also stated on be.

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