Authorization Agreement for Automatic Deposits Sample Contracts

HURON CITY BOARD OF EDUCATION AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • May 24th, 2016

**Per the Union Agreement with Huron City Schools, new employees and all substitutes must complete this form for direct deposit.

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CITY OF BIRMINGHAM AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • May 5th, 2020
NORFOLK COUNTY RETIREMENT SYSTEM
Authorization Agreement for Automatic Deposits • January 13th, 2016

Important 1. Check with your bank to verify your account number and routing number and to verify that your name is on the bank account. If your name is not on the account, the bank will not accept the direct deposit.2. If the deposit is to a checking account, you must enclose a voided check with this authorization. Without a voided check, we will be unable to deposit your retirement allowance.3. Do not use a routing number from a deposit slip.4. All authorization for direct deposits will remain in effect and continue until we receive written notice from you or your bank to discontinue the deposit.5. Thirty day notice prior to the issue date of your retirement allowance is required for any changes to be effective.6. Direct deposits are made on the last business day of each month.

Contract
Authorization Agreement for Automatic Deposits • November 30th, 2018
Edgewood College Authorization Agreement for Automatic Deposit(s)
Authorization Agreement for Automatic Deposit(s) • December 12th, 2018

Personal Information: Name (Last, First, MI): ID#: Phone Number: Email Address: Select One:  Biweekly Payroll  Monthly Payroll Effective Date:

Authorization Agreement for Automatic Deposits – Direct Deposit – of Net Pay
Authorization Agreement for Automatic Deposits • March 31st, 2021
Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • September 25th, 2009

 I do not want Direct Deposit – NOTE: you will be held responsible for any banking fees incurred to stop payment and replace your payroll check, should any payroll check become lost through no fault of PCMI.

Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • June 15th, 2007
AUTHORIZING AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • May 16th, 2018

YES, I (We) , hereby authorize CMHA to deposit my Housing Assistance Payment (HAP) directly into my bank account for the addresses listed here:

Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • August 20th, 2021

I/We authorize with my/our signature(s) below that the following is true solely with respect to the deposit of, or correction to, my RHIPA reimbursements:

Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • March 19th, 2018
Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • September 15th, 2018
School District of South Milwaukee Authorization Agreement
Authorization Agreement for Automatic Deposits • October 18th, 2018
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • November 30th, 2016

This form MUST be NOTARIZED. The notary CANNOT be a person listed elsewhere on this form. We can accept only ORIGINAL forms with ORIGINAL signatures to set up or change an account.

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • July 6th, 2012

This authority is to remain in full force and effect until STAFFERS, INC. has received written notification from me of its termination in such time and in such manner as to afford STAFFERS, INC. and DEPOSITORY a reasonable opportunity to act on it.

Authorization Agreement For Automatic Deposits
Authorization Agreement for Automatic Deposits • April 25th, 2024
Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • May 5th, 2020
Savings Bonds TreasuryDirect Form
Authorization Agreement for Automatic Deposits • July 29th, 2016

In order to establish a payroll direct deposit to fund your TreasuryDirect Account, please provide LandrumHR with your TreasuryDirect account number and the amount of your payroll deduction.

Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • June 1st, 2021
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • August 19th, 2015
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • January 18th, 2024

The form below should be filled out by employees to have their paychecks directly deposited into a checking or savings account.

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • June 4th, 2014
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Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • November 17th, 2010
Contract
Authorization Agreement for Automatic Deposits • May 30th, 2012

Fairfield University Authorization Agreement for Automatic Deposits Due to banking requirements and Fairfield University policies, any changes or additions to your direct deposit information willrequire a pre-notification to your bank. This MAY result in payment via check for one to two consecutive pay periods. Be certain to inspect your pay envelope to ensure direct deposit is successful. Employee Name (please print) Fairfield University ID # The automatic direct deposit system has the capability to deposit up to three account numbers. The accounts may be in one bank or a combination of banks. Bank Name ABA Transit Number Account Number C=checking Amount S=savings Bank Name ABA Transit Number Account Number C=checking Amount S=savings Bank Name ABA Transit Number Account Number C=checking Amount S=savings I hereby authorize Fairfield University and the bank(s) listed above to deposit my net p

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS MANDATORY FOR ALL EMPLOYEES
Authorization Agreement for Automatic Deposits • November 26th, 2014
Authorization Agreement for Automatic Deposits (Credit and Debit)
Authorization Agreement for Automatic Deposits • June 8th, 2012

I/we authorize with my/our signature(s) below that the following is true solely with respect to the deposit of or correction to my Flexible Spending Account reimbursement or to my Health Reimbursement Arrangement:

AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • December 28th, 2018
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • August 15th, 2008
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • August 19th, 2013
Authorization Agreement for Automatic Deposits‌
Authorization Agreement for Automatic Deposits • November 9th, 2011

Use this form to ADD, CHANGE, or CANCEL a DIRECT DEPOSIT. Each account requires a separate form and must be in the Human Resources Department by Wednesday, 12:00 P.M. to take effect with the following week’s payroll. All changes must be in writing.

Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • June 6th, 2012
DRAFT FORM AUTHORIZATION AGREEMENT
Authorization Agreement for Automatic Deposits • July 27th, 2021
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS
Authorization Agreement for Automatic Deposits • August 16th, 2018
Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • August 12th, 2019
Authorization Agreement for Automatic Deposits
Authorization Agreement for Automatic Deposits • November 7th, 2017

I/ we hereby authorize Western Asset Protection, Inc., hereinafter called COMPANY, to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my /our account indicated below at the depository named below, hereinafter called DEPOSITORY, to credit and /or debit the same to such account.

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