Form DE 26 at a glance
What it is: Form DE 26, the State Data Collector Program Electronic Funds Transfer Enrollment and Update Request, enrolls you in the State Data Collector program, updates your EFT contact information, or withdraws you from the program.
Who signs: Section 3: Enrollment Authorization must be signed by an authorized individual to sign for the business.
A filled-in Form DE 26 example: a first-time EFT enrollment
How to fill out Form DE 26, box by box
Section 1: Select the appropriate box
Select the appropriate box: New Enrollment, Update or Change EFT Contact, Add New Payroll Agent or Authorized EFT Contact, or Withdraw from State Data Collector Program.
Select New Enrollment if you are registering for the EFT State Data Collector program for the first time.
Select Add New Payroll Agent or Authorized EFT Contact if you already enrolled and want to change the payroll agent or EFT Contact. Previous access will be deleted, and new access will be granted.
Select Update or Change EFT Contact to change the EFT contact person on the account. Your profile and access will not change.
Select Withdraw from State Data Collector Program to cancel access to the program.
Section 1: Employer Information
Enter the Business Name, Employer Account Number, Business Mailing Address (Number, Street, or Box Number), Business Phone Number and Business Mailing Address (City, State, ZIP Code).
In Employer Account Number, enter the eight-digit employer payroll tax account number assigned by the EDD. Do not enter your Federal Employer Identification Number (FEIN).
Section 2: EFT Contact Information
Provide the information for the person who will create the user profile and submit EFT Automated Clearing House (ACH) debit payments to Employment Development Department (EDD).
In EFT Contact Name, enter the first and last name of the person who will manage this enrollment or respond to tax payment questions. This person can create a user profile and submit EFT ACH Debit payments to EDD.
EFT Company Name, Contact Phone Number and Email Address are required for the enrollment.
Section 3: Enrollment Authorization
I authorize EDD to enroll or update the employer payroll tax account in the State Data Collector program. After my enrollment is processed, a temporary security code will be sent to the email address provided in Section 2. I must visit GovOne First Data to complete my registration. To submit payments, I will need to add a bank account and routing number.
Sign on Signature, then fill in Title, Print Name, Date and Phone Number (1-XXX-XXX-XXXX).
More rules for Form DE 26
Complete all sections of this form to avoid delays in processing. Refer to page 2 for instructions.
Incomplete forms will not be processed.
If you have questions regarding this form, call the e-Pay Group at 1-916-654-9130.
A confirmation letter with instructions for creating your profile will be mailed to the address on file.
Employers are responsible for managing access to their GovOne First Data profile.
EDD cannot enter or maintain your banking information.
Review the vendor's security and confidentiality statements before using the service.
To reset the security code, contact the State Data Collector at 1-800-554-7500.
Common questions about Form DE 26
Where do I file it?
Submit your completed form by fax or mail. Fax to 1-916-319-1079. Mail to EFT Enrollment Employment Development Department PO Box 826880 MIC 15A Sacramento, CA 94280-0001.
Sources
[1] EDD Form DE 26 (6-26), State Data Collector Program Electronic Funds Transfer Enrollment and Update Request, Employment Development Department (the Official source link on this page).
