Health Care & Dependent Care Spending Account Direct Deposit Authorization AgreementDirect Deposit Authorization Agreement • February 12th, 2014
Contract Type 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.