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Direct Deposit - Sign Up
Please confirm the information you entered. and read the following agreement. Click Edit if the information is incorrect. Click I Agree to complete your Direct Deposit enrollment. If you do not agree with these terms, click Cancel Sign-Up to return to Settings without completing your Direct Deposit enrollment.
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Confirm Direct Deposit Information |
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| Direct Deposit from: |
FSA/HRA
Medical
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| Bank Name: |
Wells Fargo
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| Account Type: |
Savings
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| Routing Number: |
123456789 |
| Account Number: |
123456789012345 |
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Authorize Direct Deposit Enrollment |
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| I
authorize United Healthcare to initiate credit entries and pay funds
into the aforementioned account. I agree to allow United Healthcare to
stop payment or posting of, reverse or adjust any entry erroneously
credited to my account. The authorizations contained herin shall remain
in full force and effect until United Healthcare has received
electronic notification from me of its termination in such time and
manner as to afford United Healthcare a reasonable opportunity to act
on it. I acknowledge that the origination of Direct Deposit
transactions to said account must comply with the provisions of United States Law. |
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