You are electing to have your reimbursement made by direct deposit to a designated bank account. Fields marked with * are required.
Your Direct Deposit Form for Already Established DDB Reimbursement Requests has been submitted. If you also submitted for reimbursement, please allow approximately 14 business days to see your funds deposited to your account.
If you have questions about your request, please contact UPMC Benefit Management Services at 1-888-499-6885.