EFT Software Request Form Software Order Form Software OrderInstructions 1. Print out this form from your browser (click on this form, select "File", then "Print"). Please send me the EDI Employee Diskette Processing software. 2. Fill out the form. Be sure to include all required information. Name of Business: 3. Check which software you would like to receive. Contact Name: 4. Send the completed order form to: Street Address: Pennsylvania State Collection and Disbursement Unit Free Employer Software P.O. Box 69112 Harrisburg, PA 17106-9112 City, State, Zip Phone Number If you have any further questions, please call a SCDU Employer Customer Service Representative at (877)676-9580. Federal Employer Identification Number (FEIN): E-mail Address (optional):
EFT Software Request Form
