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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. _____. Check One: _____ Checking _____ Savings Account No. _____. TAPE YOUR VOIDED CHECK HERE (Please DO NOT staple voided check!)

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, Payroll deduction direct deposit authorization

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