NL: Notices, Letters and Paragraphs
TN 23 (12-17)
DID029 Request for Change in Mailing Address/Direct Deposit Information for ALJ Level Award Notices upon Effectuation
Please tell us if (1) mailing address or direct deposit information changes. We need this information to deposit (2) payments on time and send you important letters about (3) payments.
Fill-in:
(1) “your”/FN possessive
(2) “your”/“his”/“her”
(3) “your”/“his”/“her”