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Verification of Deposit for Medical or Public Assistance Agencies

Fax Requests To1-336-796-8722
For faster processing, please complete the form on your computer before printing.
The Wells Fargo Verification of Deposit Medical/Public Assistance service is intended for public agencies that provide community and social services.
Information provided
  • Account Number
  • Account Type – e.g. Checking, Savings, CD or IRA
  • Open or Closed
  • Account Holder(s) – the authorized signer on account
  • Current Balance – please note, we are unable to provide balances for specific dates; we provide the balance as of the date the request is processed
  • Open/Closed Date
  • Current Interest Rate (if applicable)
  • Previous 6 Average Statement Balances
  • Previous 6 Months Interest Paid
  • Balance at close (if applicable)

In addition, CD’s and IRA CD’s will include:

  • Term
  • Maturity Date
  • Interest Payment
  • Interest Method
  • Early Withdrawal Penalty

PricingFree of charge.
Submitting a request
  1. To avoid processing delays, read important guidelines for completing a VOD request.

  2. Complete the Medical / Public Assistance Request form (PDF*) including account numbers and customer authorization section signed and dated within 14 months.

    If possible, please provide full account numbers with your request. If you submit your request with the customer’s Social Security Number, we will provide information for all open Wells Fargo accounts (savings, checking, and certificates of deposit, but not loans) held by this customer.

    Include your return fax information on the form so we can return your response as quickly as possible.

    For faster processing, please complete the form on your computer before printing.

  3. Fax complete form to 1-336-796-8722. Any request submitted to this fax line that is not from a medical or public assistance agency will not be processed.

Read our Frequently Asked Questions.
Processing timeAbout five business days. Turn-around time may vary due to changes in request volume.
Fax Requests To1-336-796-8722
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