Administrative Simplification Operating Rules—April 8, 2014

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Date: 2014-04-22 16:12:43 Finance Money NACHA – The Electronic Payments Association Electronic funds transfer Automated Clearing House Electronic remittance advice Medicare Payment systems Electronic commerce Business		Administrative Simplification Operating Rules—April 8, 2014 Add to Reading List Source URL: www.cms.gov Download Document from Source Website File Size: 1,08 MB Share Document on Facebook

	ELECTRONIC FUNDS TRANSFER AUTHORIZATION FORM As a duly authorized check signer on the financial institution account identified below, I authorize to perform monthly electronic funds transfer debits from the account ident DocID: 1vnPt - View Document
	ELECTRONIC FUNDS TRANSFER (EFT) AUTHORIZATION AGREEMENT A separate form must be completed for each TIN. (*) indicates required fields within each section. Incomplete and/or illegible field and signatures will cause your DocID: 1vgV1 - View Document
	Without Reservation Automatic Contribution Form Electronic Funds Transfer (EFT) Service: If you wish to contribute monthly to the ministry of Without Reservation, and prefer having your gift automatically transferred fro DocID: 1uIHk - View Document
	ACH Enrollment Form Electronic Funds Transfer Authorization New Request Account Change DocID: 1uxGu - View Document
	Form 9C Electronic Trust Transfer Requisition: Closing Funds Requisition (number) Amount of funds to be transferred: (Specify amount.) Re: (Specify name of client.) DocID: 1tVnn - View Document