Transcription of direct deposit enrollment for distribution
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THE CITY OF NEW YORKPAYROLL MANAGEMENT SYSTEMD irect deposit of Net PayEnrollmentSUBMIT COMPLETED form TO:EMPLOYEE SECTIONEMPLOYEEIDENTIFICATIONWORK TELEPHONE NUMBERAGENCY PAYROLL SECTIONCHECK DIGIT# LLORYAPNSJ # TNEMUCODENROLLMENT REJECTION REASONSINACTIVELEAVE STATUSOTHERENTERED INTO PMSMANAGER/ SUPERVISORS ignatureName(Please Print)SignatureName(Please Print)EMPLOYEE AUTHORIZATIONI hereby authorize The City of New York to deposit my net pay directly into my checking or savings account as requested. I alsogrant authorization for the reversal of a credit to my account in the event the credit was made in error. I understand that, underthe "National Automated Clearing House Association" operating guidelines and rules, The City of New York can only reverse the amount of the incorrect direct deposit .
the city of new york payroll management system direct deposit of net pay enrollment submit completed form to: employee section employee identification
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