DIRECT DEPOSIT AUTHORIZATION AGREEMENT YOU MUST COMPLETE A SEPARATE FORM FOR EACH ACCOUNT YOU ARE ADDING OR CHANGING If this is a new account: 1. The account must be established and active at your bank before you request direct deposit. 2. Confirm the bank...
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DIRECT DEPOSIT AUTHORIZATION AGREEMENT YOU MUST COMPLETE A SEPARATE FORM FOR EACH ACCOUNT YOU ARE ADDING OR CHANGING If this is a new account: 1. The account must be established and active at your bank before you request direct deposit. 2. Confirm the bank accepts direct deposits and verify the transit routing and account numbers. 3. For savings accounts, you MUST confirm the transit routing number with your bank. 4. Notify the bank that you are going to set up direct deposit through Payroll. Please check the appropriate box and complete: □ Canceling account (complete item C below). PAYROLL MUST CANCEL DIRECT DEPOSIT BEFORE YOU CANCEL THE ACCOUNT. □ Direct deposit is already setup, changing dollar amount only (complete C through E below). □ A new account (complete A through E below). □ A new account to replace an existing direct deposit (complete A through E below). A. Bank Name:_________________________________________________________________ B. Bank Transit Routing Number □□□□□□□□□ C
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