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PAYROLL DEDUCTION DIRECT DEPOSIT AUTHORIZATION

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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. ... NOTE: If you have chosen Option 1, return this form to the Payroll Department, Mail Code 9321, ...

  Direct, Authorization, Deposits, Payroll, Deduction, Payroll deduction direct deposit authorization

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