Common Contracts

2 similar Direct Deposit Authorization Agreement contracts

DIRECT DEPOSIT FORM AUTHORIZATION AGREEMENT
Direct Deposit Authorization Agreement • July 19th, 2017

The fastest way to add, change, or stop direct deposit is via the consumer portal at https://workterra.lh1ondemand.com. If you do not wish to utilize the consumer portal then this form can be used to initiate, change or cancel your direct deposit. This service alleviates the time spent waiting for a check in the mail and is available to all plan participants. Please note – this form must be sent to WORKTERRA two weeks before the reimbursement method is changed if you choose not to enter the information via the consumer portal.

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DIRECT DEPOSIT FORM AUTHORIZATION AGREEMENT
Direct Deposit Authorization Agreement • July 19th, 2017

The fastest way to add, change, or stop direct deposit is via the consumer portal at https://workterra.lh1ondemand.com. If you do not wish to utilize the consumer portal then this form can be used to initiate, change or cancel your direct deposit. This service alleviates the time spent waiting for a check in the mail and is available to all plan participants. Please note – this form must be sent to WORKTERRA two weeks before the reimbursement method is changed if you choose not to enter the information via the consumer portal.

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