Va Form 24 0296 PDF Details

Direct Deposit Enrollment, as facilitated by the VA Form 24-0296, represents a critical turning point for veterans and their beneficiaries, marking a transition towards a more secure, efficient, and reliable method of receiving benefits. This form is not merely administrative paperwork; it is a gateway to ensuring that the financial benefits earned through service are delivered in the safest and most expedited manner possible. With its approval by the Office of Management and Budget (OMB), the form reflects a compliance with stringent federal standards, ensuring that the privacy and security of veteran information are paramount. The requirement to disclose Social Security Numbers (SSN) underscores the federal mandate to adhere to the Debt Collection Improvement Act of 1996, compelling all federal payments to transition to electronic formats, thus reducing the risk of lost or stolen checks and delays in payment. This form, updated to improve user accessibility, allows veterans and their beneficiaries to enroll in direct deposit by either calling a toll-free number or mailing the completed form, with the convenience of attaching a voided personal check for ease of account verification. The thoughtful design of the form, including sections for both veteran and beneficiary identification as well as financial institution information, bespeaks a comprehensive approach to capturing all necessary data to facilitate the direct deposit process. Moreover, the certification section ensures that the request for direct deposit comes directly from the payee, adding an additional layer of security and personal verification to the process. This form clearly embodies a streamlined approach to modernizing how veterans receive their benefits, emphasizing convenience, speed, and security.

QuestionAnswer
Form NameVa Form 24 0296
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameslegibly, ssn, omb, 1974

Form Preview Example

OMB Approved No. 2900-0564

Respondent Burden: 15 Minutes

Expiration Date: 02/28/2019

VA DATE STAMP

(DO NOT WRITE IN THIS SPACE)

DIRECT DEPOSIT ENROLLMENT

IMPORTANT: You can use this form to enroll in Direct Deposit or to make a change to an existing direct deposit account.

Please read the Privacy Act and Respondent Burden information shown below.

 

 

ATTENTION VA BENEFICIARY!

Privacy Act Notice: VA will not disclose information collected on this form to any source

 

WE'VE MADE ENROLLING IN DIRECT DEPOSIT EASIER THAN EVER!

other than what has been authorized under the Privacy Act of 1974 or Title 38, Code of

 

Federal Regulations 1.576 for routine uses as identified in the VA system of records,

 

 

CALL TOLL FREE - 1-800-827-1000

58VA21/22/28, Compensation, Pension, Education, Vocational Rehabilitation and

 

or TDD 1-800-829-4833 (Telephone Device for the Hearing Impaired)

Employment Records - VA, published in the Federal Register. Your obligation to respond

 

is voluntary. The information solicited under authority of Title 31 Code of Federal

 

Direct Deposit is the safest, fastest and most cost efficient method to receive your payment. In

Regulations, Section 210.4 will be used to process the payment data from VA to your

 

account at the designated financial institution. Giving us your Social Security Number

 

addition, you no longer have to worry about your check being late, lost, or stolen. NOTE: The

 

(SSN) is mandatory. Applicants are required to provide their SSN under Title 38, U.S.C.

 

"Debt Collection Improvement Act of 1996" which was signed into law on April 26, 1996 required

 

all Federal payments to be made by Electronic Fund Transfer (EFT or Direct Deposit) beginning

5101 (c) (1). VA will not deny an individual benefits for refusing to provide his or her

 

January 1, 1999. Waivers will be available where the conversion from paper checks imposes a

SSN unless the disclosure of the SSN is required by a Federal Statute of law in effect prior

 

to January 1, 1975, and still in effect. The requested information is considered relevant

 

hardship. Write to the address shown below for more information concerning a waiver. To have

 

and necessary to determine maximum benefits provided by law. The responses you submit

 

your VA compensation, pension, education, or spina bifida payment deposited into your account

 

right away with Direct Deposit just call VA's toll-free number above or complete this form and

are considered confidential (38 U.S.C. 5701).

 

mail to:

Department of Veterans Affairs

Respondent Burden: We need this information to ensure proper transmission of your

 

 

funds via electronic transfer to your financial institution (31 CFR 208.3 and 210.4). Title

 

 

125 S. Main Street Suite B

38, United States Code, allows us to ask for this information. We estimate that you will

 

 

Muskogee OK 74401-7004

need an average of 15 minutes to review the instructions, find the information, and

 

 

 

complete this form. VA cannot conduct or sponsor a collection of information unless a

 

When you call, be sure to have a personal check or bank statement available as well as your VA Claim

 

valid OMB control number is displayed. You are not required to respond to a collection of

 

Number or Social Security Number. The VA representative will ask for information from these

information if this number is not displayed. Valid OMB control numbers can be located

 

documents to start your Direct Deposit. If you prefer to enroll by mail, just complete the information

on the OMB Internet Page at

 

below, and attach a voided personal check from your checking account or call your Financial Institution

www.reginfo.gov/public/do/PRAMain. If desired, you can call 1-800-827-1000 to get

 

and verify the information requested below for a savings account.

information on where to send comments or suggestions about this form.

SECTION I: VETERAN'S IDENTIFICATION INFORMATION

NOTE: You can either complete the form online or by hand. Please print the information requested in ink, neatly and legibly to help process the form.

1.VETERAN'S NAME (First, Middle Initial, Last)

2. SOCIAL SECURITY NUMBER

3. VA FILE NUMBER

4.DATE OF BIRTH (MM/DD/YYYY)

Month

 

 

Day

 

 

 

Year

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION II: BENEFICIARY'S IDENTIFICATION INFORMATION

5.BENEFICIARY'S NAME (First, Middle Initial, Last - If other than veteran)

6. SOCIAL SECURITY NUMBER

8.TYPE OF BENEFIT

9.ADDRESS OF PERSON RECEIVING PAYMENT (Check box if new )

7. VA FILE NUMBER

SECTION III: FINANCIAL INSTITUTION INFORMATION

PLEASE ATTACH A VOIDED PERSONAL CHECK AND SKIP TO SECTION III OR CALL YOUR FINANCIAL INSTITUTION FOR THE FOLLOWING INFORMATION:

10. ROUTING TRANSIT NUMBER

11. ACCOUNT NUMBER (Please check the appropriate box)

 

CHECKING

 

 

SAVINGS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.NAME OF FINANCIAL INSTITUTION

13.ADDRESS OF FINANCIAL INSTITUTION

14.TELEPHONE NUMBER OF FINANCIAL INSTITUTION (Include Area Code)

SECTION IV: PAYEE CERTIFICATION

I CERTIFY THAT I am entitled to the payment above, and that I have read and understand this form. In signing this form, I authorize my payment to be sent to the financial institution named above, to be deposited to the designated account.

15.SIGNATURE OF PAYEE (Do NOT print - Sign in ink)

16. DATE SIGNED

17.TELEPHONE NUMBER (Include Area Code)

VA FORM

24-0296

SUPERSEDES VA FORM 24-0296, MAY 2016,

MAR 2018

WHICH WILL NOT BE USED.

How to Edit Va Form 24 0296 Online for Free

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Type in the appropriate data in the area NAME OF FINANCIAL INSTITUTION, ADDRESS OF FINANCIAL INSTITUTION, TELEPHONE NUMBER OF FINANCIAL, SECTION IV PAYEE CERTIFICATION, I CERTIFY THAT I am entitled to, DATE SIGNED, TELEPHONE NUMBER Include Area Code, VA FORM MAR, and SUPERSEDES VA FORM MAY WHICH.

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