Representative Payee Application

Thank you for your interest in our organization. Origin SC’s Representative Payee Program is dedicated to providing the best possible service to our clients. Below is the online application it is imperative that you fill this out with as much detail as possible. This form may not be the only form we need so please make sure you are providing good contact information. We will be contacting you to let you know we have received the application and gather any more needed information.

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