Personal Interview - Intranet Screens (field office or National 800 Number)

Domestic Direct Deposit Application

POS 1

Personal Interview - Intranet Screens (field office or National 800 Number)

OMB: 0960-0634

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POS / Direct Deposit: Screen Package

Table of Contents













































POS


POS MENU


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POS 4.0 POS MENU PEMUSM50


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AUTHORIZER: SSSSSSSSSS SSSSSSSSSS FIELD OFFICE: SSS MOD: SS


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*SELECT: X 1=ESTABLISH 5=FUTURE USE


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2=UPDATE 6=FUTURE USE


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3=QUERY 7=PIA RECOMP RETRIEVAL


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4=FUTURE USE 8=FUTURE USE.


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*NH SSN: XXXXXXXXX PIC: XXX


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UNIT: XXXXXX


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BENEFICIARY SAME AS REPORTER (Y/N): A


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REPORTER FIRST NAME: XXXXXXXXXX REPORTER LAST NAME: XXXXXXXXXXXXXXXXXXXX


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RELATIONSHIP TO BENEFICIARY: XXXXXXXXXXXXXXXXX


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REPORTER DAYTIME PHONE: XXXXXXXXXX


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SCREEN FR MSOM




















POS


POS SELECTION LIST


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POS SELECTION LIST PESL


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NH SSN: SSSSSSSSS NH NAME: SSSSS SSSSSSSSSS


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1=ADDR/DIR DEP/TEL 11=CHILD RELATIONSHIP 21=ALIEN TAX WITHHOLDING


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2=NAME CORRECTION 12=NONRECEIPT 22=FOREIGN ACTIONS


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3=DEATH/RESSURRECT 13=WORK REPORTS 23=CITIZENSHIP


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4=MARRIAGE/DIVORCE 14=HEALTH INS ENROLLMENT 24=LAWFUL PRESENCE


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5=MISC SUSP/TERM/REINST 15=HEALTH INS REPLACMNT CARD 25 CERT OF ELECTION


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6=DISABILITY CESSATION 16=HMO DISENROLLMENT 26=STUDENT


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7=PROVISIONAL PAYMENTS 17=PAY CYCLE 27=GOVT PENSION OFFSET


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8=CDR SUSPEND/RESUME 18=PIA RECOMPS 28=AUTHORIZED REP


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9=DEV REP SUSP/REINSTATE 19=MILITARY SERVICE UPDATE 29=LANGUAGE


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10=CHILD IN CARE ISSURES 20=VOLUNTARY TAX WITHHOLDING 30=SPECIAL NOTICE OPTION


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PIC LAF DE SSI PSC BENEFICIARY NAME DOB SELECT ALL: XX XX


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SSS SS S SSS SS SSSSSSSSSS S SSSSSSSSSSSS SSSSSSSS XX XX XX XX XX XX


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SSS SS S SSS SS SSSSSSSSSS S SSSSSSSSSSSS SSSSSSSS XX XX XX XX XX XX


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SSS SS S SSS SS SSSSSSSSSS S SSSSSSSSSSSS SSSSSSSS XX XX XX XX XX XX


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SSS SS S SSS SS SSSSSSSSSS S SSSSSSSSSSSS SSSSSSSS XX XX XX XX XX XX


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SSS SS S SSS SS SSSSSSSSSS S SSSSSSSSSSSS SSSSSSSS XX XX XX XX XX XX


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SSS SS S SSS SS SSSSSSSSSS S SSSSSSSSSSSS SSSSSSSS XX XX XX XX XX XX


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SSS SS S SSS SS SSSSSSSSSS S SSSSSSSSSSSS SSSSSSSS XX XX XX XX XX XX


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MORE (Y/N): A


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SCREEN FR MSOM
























POS


FUTURE POS ADDRESS/DIRECT DEPOSIT/PHONE


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POS FUTURE POS ADDRESS/DIRECT DEPOSIT/PHONE PEAF

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NH: SSSSSSSSS SSSSS SSSSSSSSSS BN: SSSSSSSSS SSSSS SSSSSSSSSS PIC: SSS


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PAY CYCLE: SSSSSSSSSSSSSSSS CYC RUN PROC DT: SSSSSS CYC REASON: SSSSSSSSSSSSSS


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LEGEND 1: SSSSSSSSSSSSSSSSSSSSSS LEGEND 2: SSSSSSSSSSSSSSSSSSSSSS


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LEGEND 3: SSSSSSSSSSSSSSSSSSSSSS LEGEND 4: SSSSSSSSSSSSSSSSSSSSSS


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ADDRESS 1: PPPPPPPPPPPPPPPPPPPPPP ADDRESS 2: PPPPPPPPPPPPPPPPPPPPPP


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ADDRESS 3: PPPPPPPPPPPPPPPPPPPPPP ADDRESS 4: PPPPPPPPPPPPPPPPPPPPPP


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CITY: PPPPPPPPPPPPPPPPPPPPPP STATE: pp ZIP: PPPPP


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STATE & COUNTY CODE : PPPPP DISTRICT OFFICE CODE: PPP


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COUNTRY: PPPPPPPPPPPPPPPPPPPPPP CONSULAR CODE: PPP


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FOREIGN POSTAL ZONE: PPPPPPPPPPPPPPP GEOGRAPHIC CODE: PPPPP


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FUTURE EFFECTIVE DATE (MMCCYY): PPPPPP FUTURE MOVE DATE (MMDDCCYY): PPPPPPPP


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CANCEL ADDRESS (Y): A


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DIRECT DEPOSIT ROUTING TRANSIT NUMBER: PPPPPPPPP ACCOUNT TYPE (C/S): P


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DEPOSITOR ACCOUNT NUMBER: PPPPPPPPPPPPPPPP CANCEL DIRECT DEPOSIT (Y): A


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FUTURE EFFECTIVE DATE (MMCCYY): PPPPPP


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SELECT PHONE CODE: P 1=HOME 2=WORK 3=NONE 4=UNK 5=OTHER 6=ATTY 7=MOBILE.


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PHONE NUMBER: PPPPPPPPPPPPPPP SELECT PHONE TYPE: P 1=DOMESTIC 2=FOREIGN.


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FUTURE EFFECTIVE DATE (MMDDCCYY): PPPPPPPP CANCEL PHONE (Y): A


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DOES ALL THE DATA ON THIS SCREEN APPLY TO D/E SSN SSSSSSSSS SSS (Y/N): A


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REVIEW CURRENT EVENTS (Y): A DELETE (Y): A TRANSFER TO: XXXX


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SCREEN FR MSOM



The screen allows for input of direct deposit routing and routing transaction number, deposit payment code, depositor account number, and the option to cancel direct deposit.













POS


POS ADDRESS/DIRECT DEPOSIT/PHONE


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POS POS ADDRESS/DIRECT DEPOSIT/PHONE PEAD


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NH: SSSSSSSSS SSSSS SSSSSSSSSS BN: SSSSSSSSS SSSSS SSSSSSSSSS PIC: SSS


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PAY CYCLE: SSSSSSSSSSSSSSSS CYC RUN PROC DT: SSSSSS CYC REASON: SSSSSSSSSSSSSS


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LEGEND 1: SSSSSSSSSSSSSSSSSSSSSS LEGEND 2: SSSSSSSSSSSSSSSSSSSSSS


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LEGEND 3: SSSSSSSSSSSSSSSSSSSSSS LEGEND 4: SSSSSSSSSSSSSSSSSSSSSS


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*ADDRESS 1: PPPPPPPPPPPPPPPPPPPPPP ADDRESS 2: PPPPPPPPPPPPPPPPPPPPPP


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ADDRESS 3; PPPPPPPPPPPPPPPPPPPPPP ADDRESS 4: PPPPPPPPPPPPPPPPPPPPPP


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*CITY: PPPPPPPPPPPPPPPPPPPPPP STATE: PP ZIP: PPPPP


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STATE & COUNTY CODE : PPPPP DISTRICT OFFICE CODE: PPP


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COUNTRY: PPPPPPPPPPPPPPPPPPPPPPPP CONSULAR CODE: PPP


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FOREIGN POSTAL ZONE: PPPPPPPPPPPPPPPPP GEOGRAPHIC CODE: PPPPP


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IS REP PAYEE RESIDENCE ADDRESS THE SAME AS INPUT ADDRESS (Y/N): A


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DOES BENEFICIARY LIVE WITH REP PAYEE (Y/N): A


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DIRECT DEPOSIT ROUTING TRANSIT NUMBER: PPPPPPPPP ACCOUNT TYPE (C/S): P


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DEPOSITOR ACCOUNT NUMBER: PPPPPPPPPPPPPPPP CANCEL DIRECT DEPOSIT (Y): A


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DIRECT EXPRESS (Y): A


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SELECT PAYMENT EFFECTIVE DATE: X 1=SS/SS/SSSS 2=SS/SS/SSSS.


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SELECT PHONE CODE: P 1=HOME 2=WORK 3=NONE 4=UNK 5=OTHER 6=ATTY 7=MOBILE.


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PHONE NUMBER: PPPPPPPPPPPPPPP SELECT PHONE TYPE: P 1=DOMESTIC 2=FOREIGN.


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DOES ALL THE DATA ON THIS SCREEN APPLY TO D/E SSN SSSSSSSSS SSS (Y/n): A


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ADD/REVIEW FUTURE EVENTS (Y): P DELETE (Y): A TRANSFER TO: XXXX


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SCREEN FR





This screen allows for input of direct deposit routing transaction number, deposit payment code, depositor account number, the option to cancel direct deposit, and (yes or no) on whether the individual’s beneficiary payments are received on a Direct Express debit card.





File Typeapplication/msword
Author297862
Last Modified By297862
File Modified2012-07-17
File Created2012-07-17

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