Common Contracts
1 similar Direct Deposit Enrollment Agreement contracts
ContractDirect Deposit Enrollment Agreement • September 25th, 2014
Vendor Direct Deposit Enrollment Form (rev. 8/14) Account Status: □ Set Up New Account □ Change Account Profile Vendor Information Please Print Vendor Name: Federal Tax ID: or SSN: Contact Phone #: E-Mail Address: Employee Information Employee Name: Department: Phone #: Account Information Name of Financial Institution: Routing Number: Checking □ Savings □ Account Number: Authorization Agreement I hereby authorize Sarasota County to initiate automatic deposits to my account at the financial institution named herewith. I understand that I will be issued payment in the form I am currently receiving until Direct Deposit has been established. Further, I agree not to hold Sarasota County 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 unt
