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Electronic Funds Transfer (EFT) Authorization Agreement

Use this form to register for, update or terminate an electronic funds transfer (EFT) for the TRICARE West Region. Additional steps may be required. Learn more on our EFT/ERA page.

Email the completed EFT Authorization Agreement to WRVerification@hnfs.com.

  • Created: Jan 3, 2025
  • Modified: Jan 3, 2025
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