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AUTHORIZATION AGREEMENT FOR AUTOMATIC …

AUTHORIZATION AGREEMENT FOR. AUTOMATIC payroll direct DEPOSITS. Requirements: 1. The account must be established and active at your bank/credit union 2. Confirm the bank accepts direct deposits and verify the bank transit routing and account numbers 3. For savings accounts, you MUST confirm the bank routing number with your financial institution 4. If required, notify the bank that you are going to set up direct deposit through payroll 5. Each employee is allowed up to (4) direct deposit transactions Please check the appropriate box and complete: [ ] Canceling account payroll MUST CANCEL direct DEPOSIT BEFORE YOU CANCEL. ACCOUNT. [ ] New account (Complete Item A through D Below). [ ]Replace an existing direct deposit (Complete Item A through D below). ACCOUNT A: I. Bank Name: II. Transit Routing Number: III. Bank Account Number: IV. Account Type: Checking: Savings: V. Deposit Amt: $. VI. Net payroll : ACCOUNT B: I. Bank Name: II. Transit Routing Number: III. Bank Account Number: IV.

Created by Marcy Aranda H:\Schaumburg HR\New Hire Paperwork\Schaumburg Direct Deposit.doc AUTHORIZATION AGREEMENT FOR AUTOMATIC PAYROLL DIRECT

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