Direct Deposit Enrollment Form printable pdf download

DIRECT DEPOSIT

ENROLLMENT FORM

The Direct Deposit Program automatically deposits your paycheck and Accounts Payable disbursements

to your checking or saving account, even when you are on vacation, traveling, on business, absent due to

illness, emergency closings, etc. It can't be stolen, lost, forged, or damaged. When you want cash, you

simply write yourself a check, or go to your local ATM for a cash withdrawal. Your payroll money will be

available to you first thing Payday morning. Accounts Payable disbursements will be available two

business days from payment processing. E-mail notification will be sent with payment information at the

time of deposit for accounts payable payments. Please allow 5 to 10 business days, from the time the

form is received by the Payroll Office, for the change to take effect.

Complete the form below, entering the required data, and then print it out. Obtain the bank

Routing/Transit number from your banking institution. If your bank has merged lately, please verify the

routing/transit number. Select the correct option-checking or savings account type. This direct deposit

form is for all disbursements issued to you from the College, Payroll and A/P.

ONCE ACTIVATED, PLEASE CANCEL YOUR DIRECT DEPOSIT BEFORE CLOSING YOUR ACCOUNT

__________________ ____________________ _____________ __

__________

Z Number

Last Name

First Name

Last 4# of Social Security

I hereby authorize Richard Stockton State College to initiate credit entries to my account in the bank named

below:

INFORMATION TO BE OBTAINED FROM YOUR BANKING INSTITUTION

BANK NAME ____________________________ BRANCH CITY ___________________ STATE ____

BANK ROUTING/TRANSIT NUMBER: _________________________________

(Nine Digits Required)

YOUR ACCOUNT NUMBER: ________________________________________

(Up to Seventeen Digits Permitted)

Account Type: Checking

Savings

This authority is to remain in full force and effective until Richard Stockton State College has received

written notification, in accordance with published schedules, from me of its termination.

_________________________________

______________

Signature:

Date:

Note: Your written signature is required to authorize this request.

Payroll Office, Main Campus, JWing-115

Direct Deposit Enrollment Form