Pennsylvania Authorization For Alternative Delivery of Compensation Payments is an authorization form for individuals who are receiving workers' compensation payments in the state of Pennsylvania. This form allows individuals to authorize their insurance carrier to pay benefits in a manner other than the traditional check. The alternative delivery methods available are Direct Deposit to a checking or savings account, Automated Clearing House (ACH) to a financial institution, or a Prepaid Debit Card. This form must be completed and returned to the insurance carrier before any alternative payment methods can be used. There are two types of Pennsylvania Authorization For Alternative Delivery of Compensation Payments: one for Direct Deposit and one for ACH or Prepaid Debit Card.
Pennsylvania Authorization For Alternative Delivery of Compensation Payments
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How to fill out Pennsylvania Authorization For Alternative Delivery Of Compensation Payments?
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