Form ITA2059, "Non-Payroll Electronic Funds Transfer (EFT) Employee Enrollment Form", is used to designate a bank account for deposit of reimbursements for travel advances and travel claims (TDY and Permanent Change of Station Vouchers). ITA employees must designate a bank account to receive reimbursement for their travel claims and other claims formerly process through the imprest fund. Instead of receiving a check in the mail, your reimbursement will automatically be deposited into a bank account of your choice. If you do not currently receive your payroll via direct deposit you must complete a direct deposit enrollment form and submit it with your travel voucher to NBC Denver. Receiving your payments electronically offers an immediate cash flow benefit and prompt availability of funds on the payment due date. Lost, stolen, or misplaced checks will be eliminated.
1. Name: Enter your first name, middle initial and last name.
2. Social Security Number: Enter your 9-digit social security number.
3. Work Telephone Number: Enter your work telephone number including area code.
4. E-Mail Address: Enter your work e-mail address.
5. Financial Institution Name: Enter the name of your bank.
6. Financial Institution Address: Enter the address of your bank.
7. 9 Digit Routing Transit Number: Enter your 9 digit transit number.
8. Account Number: Enter your bank account number.
9. Account Type: Indicate the type of bank account you are designating. (e.g. savings, checking)
10. Employee Signature: In order to process, the form must be signed.
11. Date: Enter the date.
12. The completed form should be mailed to:
| Regular Mail | Overnight Mail |
| National Business Center | National Business Center |
| Products and Services | Products and Services |
| Mail Stop D-2761, ITA | Mail Stop D-2761, ITA |
| P.O. Box 272025 | 7301 W. Mansfield Avenue |
| Denver, CO 80227-9025 | Lakewood, CO 80235-2230 |
For more information contact: Patti Stonehocker at (303) 969-7780 ext. 2675.