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direct deposit?

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Direct Deposit

Request a New Form or to Enroll in the EQSF Direct Deposit Program

Required Fields *



Your full name *
Master ID (MID) (if known) - or - last four digits of your Social Security Number
(for verification purposes only)
Daytime telephone number *
(8:30 a.m. - 4:30 p.m. Pacific)
Alternate telephone number
Fax number
E-mail address

Lien Agents, Creditors, Heirs or other Assignees

Are you a lien agent, creditor, heir or other third party with an interest of a claimant's EQSF award and would like to receive your portion of the settlement via direct deposit?
Any additional information you wish to provide
 

Exxon Qualified Settlement Fund | PO Box 21945 | Seattle, Washington | 98111 | 1-800-397-7455

© 2007 by Lynn L. Sarko (Exxon Qualified Settlement Fund Administrator) All rights reserved. You may reproduce
materials available at this site for your own personal use and for non-commercial distribution. All copies must include the
above copyright notice. All photographs courtesy of the Exxon Valdez Oil Spill Trustee Council.