Reporting Changes
FIDM Change of Address form
Contact Information Change Request form
Method or Media
Contact Data and Program Option Sheet
Reporting Name/FEIN or Merger/Acquisition
Financial Institution name changes, Financial Institution
Federal Employer Identification Number changes, and Merger/Acquisition changes
require the execution of a new agreement. The current agreement carrying a
revision date of 01/06 can be obtained by contacting:
PA FIDM Program
Bureau of Child Support Enforcement
P.O. Box 8018
Harrisburg, Pennsylvania 17105
Attn: PA FIDM Coordinator
Telephone Number - (717) 705-7121
E-Mail Address - RA-PWPAFIDM-PROGRAM@pa.gov
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