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Pierce County Housing Authority
Tacoma, Washington        253.620.5400

 
Utility Assistance Direct Deposit Enrollment Form

Housing Information
  

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Pierce County Housing Authority Is Please
To Offer A Direct Deposit Service To Receive
Your Utility Assistance Payment

To receive your Section-8 Utility Assistance payment, you must complete and submit the following Direct Deposit Enrollment Form. You can obtain payment detail information through the Pierce County Housing Authority website at or www.hmsforweb.com/pal.

If you prefer to print and mail this form, click here for a (pdf) copy of the Utility Assistance Payment Enrollment form.

 

 
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Tenant/Client Name*

Tenant/Client Tax ID# (TIN/SSN)*

Tenant/Client Address*

Tenant/Client Phone Number*

Tenant/Client Email Address*

Bank Name*

Bank Phone*

Account Type*

Checking Savings

Bank Routing Number*

Bank Account Number*

Authorization*

I authorize Pierce County Housing Authority to deposit monthly utility assistance payments to the bank account identified on this form.

* To ensure your payments are directed correctly, please check with your bank to verify the information you provide is correct.
 
Please enter the phrase as it is shown in the box above.  
      
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