Edd Form De 26 PDF Details

The EDD DE 26 form is pivotal for employers looking to engage in the Electronic Funds Transfer (EFT) State Data Collector Program, outlined by the Employment Development Department. This form serves as a beacon for new enrollments, enabling vendors or third parties to streamline their financial transactions directly with the state. The form demands detailed employer information and an authorization segment, where the employer’s sanction is key to the enrollment process. Detailing both the employer's primary data, including business name, address, and Employer Account Number, along with contact information for the EFT procedure, it ensures a gateway to a more efficient, paperless transfer method. This enrollment not only indicates a shift towards digital efficiency but also mandates the employer's proactive role in managing their profile and banking details within the state's data collector system. The completion and submission of the form, which can be done either via mail or fax, marks the initial step towards an organized financial management system, offering employers a confirmation letter and subsequent instructions for profile and bank account adjustments. This structured approach epitomizes the state's effort to enhance fiscal operations, emphasizing the responsibility on the employer's end to maintain current and accurate information.

QuestionAnswer
Form NameEdd Form De 26
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesde26, FIS, IVR, fillable online forms edd

Form Preview Example

Department Use Only

ELECTRONIC FUNDS TRANSFER (EFT)

STATE DATA COLLECTOR PROGRAM - VENDOR (THIRD PARTY)

NEW ENROLLMENT REQUEST FORM

(See reverse for instructions.)

SECTION I: Employer information must be completed.

Business Name

Employer Account Number

 

 

Business Mailing Address (Number, Street, or Box Number)

Business Phone Number

 

 

Business Mailing Address (City, State, ZIP Code)

 

EFT Contact Person

EFT Contact Phone

SECTION II: Enrollment Authorization

I hereby authorize designated financial agents of the Employment Development Department (EDD) to enroll the Employer Account Number, indicated above, in the state data collector program.

Important: A form without the signature will be returned unprocessed.

Signature

Print Name

Title

Date

Phone Number

 

 

Fax the completed form to 916-654-7441, or

Mail to: e-Pay Unit, MIC 15A

Employment Development Department

PO Box 826880

Sacramento, CA 94280-0001

If you have questions regarding this form, please call the e-Pay Unit at 916-654-9130.

DE 26 Rev. 10 (6-16) (INTERNET)

Page 1 of 2

CU

Instructions for Completing the Electronic Funds Transfer (EFT) State Data Collector

Program - Vendor (Third Party) New Enrollment Request Form (www.govone.com/PAYCAL)

GENERAL

Please type or print clearly. Return the New Enrollment Request form to the EDD by mail or fax.

This authorization form is for employers who are not currently enrolled in the state data collector program - vendor (third party) website.

The employer accepts all responsibility for managing access to their profile on the state data collector system.

Once enrolled, you will receive a confirmation letter with instructions on how to create your profile and add a bank account to be used for debiting. You will also be able to update your bank account information directly from the state data collector website.

SECTION I

Complete all information in this section.

Business Name - Enter the business name.

Business Mailing Address - Enter the business mailing address.

Employer Account Number - The EDD employer payroll tax account number is required. Enter the eight-digit employer payroll tax account number assigned by the EDD, not your Federal Employer Identification Number.

Business Phone Number - Enter the business phone number.

EFT Contact Person - Enter the name of the person who can be contacted regarding this enrollment or tax payment inquiries.

EFT Contact Phone Number - Enter the phone number for the contact person.

SECTION II

Preparer or responsible individual, complete all information in this section.

Fax the completed form to 916-654-7441, or

Mail to: e-Pay Unit, MIC 15A

Employment Development Department

PO Box 826880

Sacramento, CA 94280-0001

If you have questions regarding this form, please call the e-Pay Unit at 916-654-9130.

DE 26 Rev. 10 (6-16) (INTERNET)

Page 2 of 2

CU

How to Edit Edd Form De 26 Online for Free

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You should note the details within the section Instructions for Completing the, GENERAL Please type or print, This authorization form is for, The employer accepts all, Once enrolled you will receive a, SECTION I Complete all information, Business Name Enter the business, and Business Mailing Address Enter.

de26 Instructions for Completing the, GENERAL Please type or print, This authorization form is for, The employer accepts all, Once enrolled you will receive a, SECTION I Complete all information, Business Name  Enter the business, and Business Mailing Address  Enter blanks to complete

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