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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) 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.
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Mail the form and other documents to the address found on the form. Open in word or pdf formats: Web download the claim for reimbursement form. Dei credit card authorization charge. Only complete this form to sign up for the direct express® card if you are an individual who receives benefit payments.
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You must complete all required information in boxes a and b. Open in word or pdf formats: Web download the claim for reimbursement form. Dei credit card authorization charge. Print and complete the form.
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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. You must complete all required information in boxes a and b. Web direct express ® will never contact you by phone, email or text message to ask you for your card number, password, pin or security code. Open in word or pdf formats:
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Once you submit your claim online, you will no longer need to send the same claim to us through the mail. 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) Us customs cbd examination procedures. Mail the form and other documents to the address found on the form.
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Open in word or pdf formats: Print and complete the form. Web download the claim for reimbursement form. Web how do i get my direct express ® card?
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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. Web registering a complaint about a card issue questions about card usage questions about international card usage you can also write to us at: 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.