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EFT Form Guidelines

  • Vendor Name on EFT form *must* match Legal Name on W9 in CORE and the name on the voided check.
  • Mailing Address ideally *should* match address on voided check. If it does not match, the OSC will request an  explanation as to why.

Screenshot of Section II and the Payee (Receivor) Information fields to be filled out.

  • Make sure Transit ABA and Account Number boxes are completed and match the data on the voided check.
  • The SSN/Tax ID number on EFT form *must* match W9 in CORE.
  • No blanks! (with the exception of “For Further Credit to Account”)
  • If landlord does not have a voided check, they must submit a bank letter that includes all information from Sections II and III of the EFT form.
  • The OSC will not accept a pre-printed EFT form provided by a bank (even though this is generally accepted by employers and other PHAs).

Screenshot of Section III and the Financial Institution fields to be filled out.

This form should be used to report problems or issues with this website. Questions pertaining to a program or service provided by DOH should be addressed to contact information located on the specific program pages.

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