Sign-Up Form for the Direct Express
FMS Form 1201DFAS FOR ASSISTANCE WITH ENROLLMENTS, PLEASE CALL (877) 597-3055 (January 2014) Previous versions obsolete C. B. CERTIFICATION DIRECTIONS D. FOR OFFICIAL USE ONLY Sign-Up Form for the Direct Express® Card for Benefit Payments A. FEDERAL BENEFIT RECIPIENT INFORMATION (print name[s] and addresses exactly as they appear on your ... ................
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