Health Care & Dependent Care Spending Account Direct Deposit Authorization AgreementFebruary 12th, 2014
FiledFebruary 12th, 2014Complete this agreement if you prefer to have your spending account reimbursement deposited directly into your bank account rather than receiving a check, or if you have experienced a change to your banking information. Direct deposit information will carry over from plan year to plan year. You DO NOT have to complete a new form each year.