Direct Deposit Agreement Sample Contracts

Polk County School Board Direct Deposit to MIDFLORIDA Credit Union
Direct Deposit Agreement • February 7th, 2018

Definitions: Allocation: A portion of your payroll you want distributed to various MIDFLORIDA accounts, such as a loan or savings account

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Claims Department Direct Deposit Agreement
Direct Deposit Agreement • February 24th, 2020
Direct Deposit General Terms & Conditions
Direct Deposit Agreement • May 20th, 2011
Direct Deposit Agreement Form
Direct Deposit Agreement • November 2nd, 2011
DIRECT DEPOSIT AGREEMENT
Direct Deposit Agreement • March 18th, 2014
Direct Deposit Agreement Form
Direct Deposit Agreement • January 3rd, 2013
Direct Deposit Agreement Form
Direct Deposit Agreement • April 25th, 2022
Direct Deposit Agreement
Direct Deposit Agreement • March 17th, 2017
SSN:
Direct Deposit Agreement • June 29th, 2009
AUTHORIZATION AGREEMENT FOR AUTOMATIC DEPOSITS NEW ENROLLMENT, CANCELLATIONS
Direct Deposit Agreement • October 13th, 2011

AUTHORIZATION – Please complete the information below and attach a “Voided Check”. If a voided check is not available or if this is for a savings account, please attach a letter from the bank with bank routing and account information. Forward this completed form and attachments to: UNC Payroll Office, Direct Deposit Administrator, 270 Mossman Bldg, PO Box 26170, Greensboro, NC 27402-6170. This completed form must be received in the Payroll Office no less than 20 days prior to your next pay date for the direct deposit to be effective the next pay.

Direct Deposit Agreement Form
Direct Deposit Agreement • February 19th, 2022
Direct Deposit Agreement/Declination Form
Direct Deposit Agreement • July 14th, 2010

This agreement will remain in effect until the Coalition receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to the Coalition Finance Department.

Contract
Direct Deposit Agreement • September 25th, 2015
Authorization Agreement:
Direct Deposit Agreement • October 25th, 2023

to initiate automatic deposits to my account at the financial institution named below and to make withdrawals from this account if a credit entry is made in error.

Direct Deposit Agreement Form for Advances and Expenses
Direct Deposit Agreement • February 15th, 2017
srs.illinois.gov
Direct Deposit Agreement • October 19th, 2017
Direct Deposit Agreement Form
Direct Deposit Agreement • July 28th, 2009
Direct Deposit Agreement Form
Direct Deposit Agreement • April 27th, 2020
Authorization Agreement
Direct Deposit Agreement • July 17th, 2022
Direct Deposit Agreement
Direct Deposit Agreement • November 18th, 2013

Plan Name Account Number Instructions. If you wish to have pension checks deposited electronically into your financial institution account, please return this agreement to your former employer or pension fund office, along with a voided check or voided savings deposit form. If your bank is not a member of the Automated Clearing House (ACH), your former employer or pension fund office will notify you, and this authorization will be canceled. All banking information must be approved and submitted by a Plan Representative. 1 PERSONAL INFORMATIONYour Name Social Security Number Home Address City State Zip 2 FINANCIAL INSTITUTION INFORMATIONFinancial Institution Name ABA Routing Number Branch Address City State Zip Account Number Account Name 2400 91-548/1221 19 PAYTO THEORDER OF $ Account Type (check one): DOLLARS Account Number FOR Checking SavingsABA Routing Number 122105278 6724301068 FOR 122105278 6724301068 2400 3 AUTHORIZATIONI authorize Fiduciary Trust Company International

Authorization Agreement
Direct Deposit Agreement • September 25th, 2014
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FPDR
Direct Deposit Agreement • July 12th, 2019

Direct Deposit AgreementI hereby authorize the Bureau of Fire and Police Disability and Retirement to deposit my net benefit into the account(s) indicated below. Personal Information Name (printed) Social Security Number (only last four digits) XXX-XX- Primary Account Financial Institution Account Number Account Type (check one) Checking Savings Secondary Account (Optional) If you wish to have a fixed dollar amount (no percentages) deposited to a secondary account, please enter the amount below. The balance of your net check will be deposited to your primary account. Financial Institution Account Number Account Type (check one) Checking Savings Dollar Amount Please be aware that any one-time or special payments will be deposited entirely to the primary account. Signature Date Please attach voided check and mail, fax, or email form to FPDR.

GALENA PARK INDEPENDENT SCHOOL DISTRICT AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT
Direct Deposit Agreement • August 23rd, 2013
No Documentation Agreement- Direct Deposit
Direct Deposit Agreement • February 14th, 2020
AUTHORIZATION AGREEMENT
Direct Deposit Agreement • March 21st, 2018
FIRST AMENDMENT TO DIRECT DEPOSIT AGREEMENT
Direct Deposit Agreement • June 16th, 2020

Amendment”) is executed as of this day of July, 2020, by and among the OFFICE OF THE TREASURER OF THE STATE OF MISSOURI (the “Treasurer”), the DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION OF THE STATE OF MISSOURI (the “DESE”), the HEALTH AND EDUCATIONAL FACILITIES AUTHORITY OF THE STATE OF MISSOURI

Direct Deposit Agreement Form
Direct Deposit Agreement • June 17th, 2013
Authorization Agreement
Direct Deposit Agreement • November 25th, 2019
Direct Deposit Agreement
Direct Deposit Agreement • January 10th, 2017
DIRECT DEPOSIT
Direct Deposit Agreement • October 12th, 2009

All employees will receive pay through direct deposit as a condition of their employment. The Direct Deposit Agreement form MUST have a VOIDED check attached or it will not be processed. If you have a savings account, please attach a deposit slip with your account information on it. All completed forms must be turned into the Payroll Office.

Direct Deposit Agreement
Direct Deposit Agreement • November 5th, 2015

Instructions. If you wish to have pension checks deposited electronically into your financial institution account, please return this agreement to your former employer or pension fund office, along with a voided check or voided savings deposit form. If your bank is not a member of the Automated Clearing House (ACH), your former employer or pension fund office will notify you, and this authorization will be canceled. All banking information must be approved and submitted by a Plan Representative.

Authorization Agreement
Direct Deposit Agreement • March 19th, 2013
Office of Payroll
Direct Deposit Agreement • October 14th, 2021
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