Direct Express Claim Form

Direct Express App Review Direct Express Card Help

Direct Express Claim Form. Web there is a fee of $0.75 per month for receiving the automated paper statement. Print and complete the form.

Open in word or pdf formats: Only complete this form to sign up for the direct express® card if you are an individual who receives benefit payments. Web there is a fee of $0.75 per month for receiving the automated paper statement. Dei credit card authorization charge. Once you submit your claim online, you will no longer need to send the same claim to us through the mail. To request a paper statement, visit the website at www.usdirectexpress.com, request through the mobile app or call the direct express ® card toll free customer service department number on the back of your card. Federal benefit recipient information (print name[s] and address exactly as they appear on your benefit check) social security number date of birth of person entitled to government benefits (beneficiary) Print and complete the form. You must complete all required information in boxes a and b. Web download the claim for reimbursement form.

If you have responded to any communication asking you to provide any card or personal information, please inform direct express ® customer service immediately by calling the number on the back of your card. Print and complete the form. Web how do i get my direct express ® card? Contact our enrollment center between the hours of 9:00 a.m. Dei credit card authorization charge. Once you submit your claim online, you will no longer need to send the same claim to us through the mail. Mail the form and other documents to the address found on the form. Web download the claim for reimbursement form. Open in word or pdf formats: Direct express®, payment processing services. If you have responded to any communication asking you to provide any card or personal information, please inform direct express ® customer service immediately by calling the number on the back of your card.