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PAYROLL DEDUCTION DIRECT DEPOSIT AUTHORIZATION

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. _____. Check One: _____ Checking _____ Savings Account 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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  Direct, Authorization, Deposits, Payroll, Deduction, Payroll deduction direct deposit authorization

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