Direct Deposit Agreement FormCity of Fitchburg • November 20th, 2012
Contract Type FiledNovember 20th, 2012Authorization Agreement I hereby authorize the City of Fitchburg to initiate automatic deposits to my account at the financial institution named below. I also authorize the City of Fitchburg to make withdrawals from this account in the event you were overpaid incorrectly. Further, I agree not to hold the City of Fitchburg responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account. This agreement will remain in effect until the City of Fitchburg receives a written notice of cancellation from me or my financial institution for just cause, or until I submit a new direct deposit form to the Payroll Department. Any such information shall be effective only with respect to entries initiated by the City of Fitchburg after receipt of such notification and a reasonable opportunity to act. ANY SUCH NOTIFICATION TO THE FINANCIAL INSTI