Common Contracts
1 similar Direct Deposit Authorization Agreement contracts
ContractDirect Deposit Authorization Agreement • August 28th, 2012
MERTON COMMUNITY SCHOOL DISTRICT P.O. Box 15, MERTON, WISCONSIN, 53056 FEIN # 39-1035321 Direct Deposit Authorization Agreement Employee Name (print): Social Security Number: New Election Change in Election Employee Please complete the following information and verify with your financial institution: Financial Institution Name: Financial Institution Address: Financial Institution Phone #: Checking Account Savings Account Attach a voided check for a checking account or a voided savings account ticket for a savings account. Account Number: Transit/ABA Number: I hereby authorize Merton Community School District to deposit my paychecks directly into the account listed above in accordance with the District's rules and procedures as printed on the reverse side of this form. I have attached a voided check from my checking account, or a voided deposit or withdrawal ticket from my savings account into which I wish to have my paychecks deposited. Employee Signature: Date: Joint
