Individuals receiving funds from Meridian may use this form to designate a third-party recipient for their funds. This form is not required if another method of collecting this information is preferred, but the information collected must be the same as that listed in this form and must be specified by the individual designating the third party.
This information, whether collected via this form or other means, should be attached along with the third-party recipient's Vendor Form or Western Union Form and tax form.