PAYROLL DEDUCTION DIRECT DEPOSIT …
Clear Form PAYROLL DEDUCTION DIRECT DEPOSIT authorization . (Choose ONE of the following Options). For security purposes, we can only accept ORIGINAL forms - - NO FAXES, NO E-MAILS. ________________________________________ ____________ ________________________ ___X X X X X -________________. Employee Name: (Last) (First) ( ) Employee No. Social Security No. (last 4 digits ONLY). ________________________________________ ________________________________________ ______________________________. Address City State Zip OPTION 1 - ____ Financial Institution: By signing below, I hereby authorize the Miami-Dade County School Board and the financial institution listed below to automatically DEPOSIT my net pay to: Bank Name ________________________________________ ___________ Routing/Transit No.
PAYROLL DEDUCTION DIRECT DEPOSIT AUTHORIZATION (Choose ONE of the following Options) For security purposes, we can only accept ORIGINAL forms - - NO FAXES, NO E-MAILS.
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