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Government forms
AMERIFLEX Authorization Agreement for ACH Debits/Credits - Sep 2012

Government forms

New employee onboarding

AMERIFLEX Authorization Agreement for ACH Debits/Credits - Sep 2012

The form is used by employees to request direct deposit of their FSA reimbursement.

Originally published by: fultoncountyga.gov

Used 19 times

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Frequently asked questions

The form is used by employees to request direct deposit of their FSA reimbursement. Employees can complete the document with their bank account information and submit it to their employer's HR department. It is only for employees who wish to receive their FSA reimbursement via direct deposit.
Employees who want to receive FSA reimbursement via direct deposit.
The completed AMERIFLEX Authorization Agreement for ACH Debits/Credits should be submitted to the employer's HR department.

Used 19 times