Common Contracts

1 similar null contracts

Health Care & Dependent Care Spending Account Direct Deposit Authorization Agreement
February 12th, 2014
  • Filed
    February 12th, 2014

Complete 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.

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