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Only complete this form to sign up for the direct express® card if you are an individual who receives benefit payments. To request a paper statement, visit the website at www.usdirectexpress.com, request through the mobile app or call the direct express ® card toll free customer service department number on the back of your card. Open in word or pdf.
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Federal benefit recipient information (print name[s] and address exactly as they appear on your benefit check) social security number date of birth of person entitled to government benefits (beneficiary) Only complete this form to sign up for the direct express® card if you are an individual who receives benefit payments. Web registering a complaint about a card issue questions about.
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To request a paper statement, visit the website at www.usdirectexpress.com, request through the mobile app or call the direct express ® card toll free customer service department number on the back of your card. Contact our enrollment center between the hours of 9:00 a.m. If you have responded to any communication asking you to provide any card or personal information, please inform direct express ® customer service immediately by calling the number on the back of your card. Dei credit card authorization charge.
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Web how do i get my direct express ® card? Only complete this form to sign up for the direct express® card if you are an individual who receives benefit payments. Open in word or pdf formats: You must complete all required information in boxes a and b.
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Print and complete the form. Web download the claim for reimbursement form. Web there is a fee of $0.75 per month for receiving the automated paper statement. Open in word or pdf formats:
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Federal benefit recipient information (print name[s] and address exactly as they appear on your benefit check) social security number date of birth of person entitled to government benefits (beneficiary) Once you submit your claim online, you will no longer need to send the same claim to us through the mail. Web registering a complaint about a card issue questions about card usage questions about international card usage you can also write to us at: