Secondary Direct Deposit Authorization AgreementSecondary Direct Deposit Authorization Agreement • October 4th, 2017
Please complete and return the form to Fairfax County Retirement Systems at 12015 Lee Jackson Memorial Highway, Suite 350, Fairfax, VA 22033 or fax it to (703) 653-9543.
Secondary Direct Deposit Authorization AgreementSecondary Direct Deposit Authorization Agreement • August 3rd, 2023
A copy of your driver’s license, passport, or photo ID is REQUIRED if requesting a change to your existing banking information.
SECONDARY DIRECT DEPOSIT AUTHORIZATION AGREEMENTSecondary Direct Deposit Authorization Agreement • June 27th, 2013
INSTRUCTIONS: Complete this form if you wish to establish, change, or cancel a secondary direct deposit account with the State of Connecticut. If you would like to establish an initial direct deposit account, please complete a Direct Deposit Authorization Agreement. If you have any questions regarding direct deposit, please contact the University of Connecticut Payroll Department at (860) 486-2423.
Secondary Direct Deposit Authorization AgreementSecondary Direct Deposit Authorization Agreement • October 4th, 2017
Please complete and return the form to Fairfax County Retirement Systems at 12015 Lee Jackson Memorial Highway, Suite 350, Fairfax, VA 22033 or fax it to (703) 653-9543.
Secondary Direct Deposit Authorization AgreementSecondary Direct Deposit Authorization Agreement • October 31st, 2022
Please complete and return the form to Fairfax County Retirement Systems at 12015 Lee Jackson Memorial Highway, Suite 350, Fairfax, VA 22033 or fax it to (703) 653-9543.
