Claim For One Sum Payment - Veterans Benefits Administration Page 2

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IMPORTANT NOTIFICATION
This is to inform you that the Treasury will only send payments by Direct Deposit (which your bank may refer to as Electronic Funds
Transfer or (EFT).
This means that if you send us an Insurance application that requires us to send you money (For example: loans, cash surrenders,
dividend withdrawals or claims for death benefits), you will have to provide us with your banking information. This is a mandatory
requirement of the Treasury Department.
In order to set up Direct Deposit or EFT you must send us the following information:
(1) If you will be using your checking account, send us:
• A copy of a voided check (Your name must be on the account)
• For identification purposes, please write the Insurance File Number on the voided check
or any other information sent to us.
(2) If you will be using a savings account, send us:
• Your bank's name and address
• Your bank's routing and transit number
• Your bank account number
NOTE: The VA Insurance Center is aware that this may be an inconvenience but this information is mandatory based on
U.S. Treasury regulations and all government agencies must comply. Thank you for your cooperation.
VA FORM 29-4125, DEC 2016
PAGE 2

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