Financial Affairs
Retiree Premiums Bank Debit Payment Authorization - Instructions
Description: Used to assist in completing the Retiree Premiums Bank Debit Payment Authorization Form.
Last Revised On: 07/19/2011
Owner/Host: Payroll Services
Download File: PDF
Related Forms/Worksheets:
Related Financial Management Operational Guideline(s) (FMOG): No related operational guidelines.
Revision History:
07/19/2011: Completed minor grammatical edit in the Action Type section.
09/01/2010: Added new form.
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