we require that you submit a copy of your official UB Card with your direct deposit request form. Include a Voided Check or Written Verification A voided check or written verification from the ...
Pennsylvania Governor Josh Shapiro signed into law Senate Bill 1232, which amended the Pennsylvania Workers’ Compensation Act ...
Download the blank Direct Deposit/Automatic Payment Information Form. Manually write in your name, account number and routing number and select the account type. Once you complete the form, print ...