ContractI Agreement • October 9th, 2015
Contract Type FiledOctober 9th, 2015AUTHORIZATION I AGREEMENT FOR CHECK ONE: AUTOMATIC DIRECT DEPOSIT OF PAYROLL New Authorization Payroll # Name: Change of Authorization School/Dept. Employee ID Number: Transit / ABA Number: (Attach voided check) Financial Institution's Name and Address: Account Number: Type of Account (check one): Checking Account Savings Account I hereby certify that I am an owner of the above account and authorize the Payroll Department to deposit the full net amount of my payroll check, unless another amount has been specified above, to the financial institution / account indicated above, and to post debit entries to correct any deposits made in error. This authorization shall remain in full force and effect until you have received written notification from me of its termination in such a manner as to afford you a reasonable opportunity to act upon it. Employee's Signature: Date: