Direct Deposit / Pre-Authorized Payment Instructions Form for EFTs

Direct Deposit / Pre-Authorized Payment Instructions Form for EFTs

To set up Direct Deposit or Pre-authorized payments (Electronic Fund Transfers or EFTs), please click on the button below to download a copy of DUCA's Direct Deposit / Pre-authorized Payment Instructions Form. Complete the form and send it to the organization you wish to either send automated payments to or receive automated deposits from. Keep a copy for your records. 

If you are unsure of your 10-digit account number, please call Member Connect at 1.866.900.3822.

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