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This site is for demonstration of forms.
Do NOT submit personal applications.

Check

  • If you do not already have direct deposit or an active Key2Benefits Visa Debit Card, please select this option to receive your first grant.

Direct Deposit

  • If you already have set up direct deposit, your first grant will be deposited directly into your account.
  • If you have not yet set up direct deposit, you may do so at your orientation appointment.
  • The processing time for deposits is a minimum of two business days and deposits are not made on non-banking days.

Debit Card

  • If you already have an active Key2Benefits Visa Debit Card, your first grant will be deposited directly into your Key2Benefits account.
  • If you do not have an active Key2Benefits Visa Debit Card, have lost your card, you may complete the form at your orientation appointment so that one may be ordered.
  • The processing time for deposits is a minimum of two business days and deposits are not made on non-banking days.

W – 9: Request for Taxpayer Identification Number and Certification

  • To add individuals as a vendor, QIN Finance is required to have a current W – 9 on file.
  • If you have never completed a W – 9 or if your name and/or mailing address has changed, you will be required to complete a W – 9 before your payment can be processed.
  • The required information is highlighted and must be completed before sending to QIN Finance.

Name(Required)
Payment Options(Required)
I understand that the payment option selected above will be in effect for all QIN payments made on my behalf. I further understand that I may change the payment option, at any time, by submitting an updated Payment Form and necessary paperwork to the TANF Office or to the QIN Finance Office.
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