Form HCA12-0004 Authorization Agreement for Electronic Funds Transfer (Eft) - Washington

What Is Form HCA12-0004?

This is a legal form that was released by the Washington State Health Care Authority - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HCA12-0004?
A: Form HCA12-0004 is the Authorization Agreement for Electronic Funds Transfer (EFT) form for Washington.

Q: What is EFT?
A: EFT stands for Electronic Funds Transfer, which is a way to electronically transfer funds from one bank account to another.

Q: What is the purpose of Form HCA12-0004?
A: The purpose of this form is to authorize the electronic transfer of funds for Washington State.

Q: Who needs to fill out this form?
A: This form needs to be filled out by individuals or organizations who want to receive payments electronically from Washington State.

Q: What information is required on the form?
A: The form requires the individual or organization's name, address, bank account information, and signature.

Q: Is there a fee for using EFT?
A: There is no fee for using EFT for payments received from Washington State.

Q: Are there any deadlines for submitting this form?
A: The deadlines for submitting this form may vary depending on the specific payment program. It is recommended to check with the relevant government agency for specific deadlines.

Q: How long does it take to process the EFT authorization?
A: The processing time for EFT authorization can vary, but it is typically processed within a few business days.