Secure Form – FSBP Electronic Funds Transfer (EFT) Form

FSBP Electronic Funds Transfer (EFT) Form

The fastest and quickest way to receive your claims reimbursements.

Electronic Fund Transfer (EFT)/Direct Deposit Authorization Form

If you would like to submit this form by fax or mail, you may download the form here.

FOREIGN SERVICE BENEFIT PLAN
PO Box 14079
Lexington, KY 40512-4079
FAX: (959)282-1516