• Step 1 Payee Information
  • Step 2 Acknowledgement
  • Step 3 Benefit Payment Information
  • Step 4 Direct Deposit Information
  • Step 5 Review & Confirm

Payee Information

All fields are required unless otherwise specified.

Please choose the situation that best describes this enrollment.

A Representative Payee is a person, agency, organization or institution approved by the paying agency to receive and manage benefits on behalf of a minor, an incapable or legally incompetent beneficiary. The benefit payment will be made payable to the Representative Payee for the Beneficiary.

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