Payroll Allocation Form‐DIRECT DEPOSIT
Please check one:
New Setup
Change of Account
Cancellation
Employee Information:
Employee Name (printed): _________________________________________________
Employee @ Number: _____________________________________________________
Account Information:
Name of Financial Institution: ______________________________________________
Please choose one:
Checking
Savings
Routing Number:
Account Number:
To the left is a sample check for your reference when filling out
this direct deposit form.
PLEASE ATTACH A VOIDED CHECK
IMPORTANT Please read and sign before submitting to Payroll.
I hereby authorize the Fashion Institute of Technology (FIT) to deposit any amounts owed to me, as instructed by my
employer, by initiating credit entries to my account at the financial institution indicated on this form. Further, I authorize
the financial institution to accept and to credit any credit entries indicated by FIT to my account. In the event that FIT
deposits funds erroneously into my account, I authorize FIT to debit my account for an amount not to exceed the original
amount of the erroneous credit. This authorization is to remain in full force and effect until FIT has received notice from me
of its termination in such time and in such manner as to afford FIT reasonable opportunity to act on it.
It will take two pay periods for direct deposit to go into effect.
Employee Signature: ________________________________________________ Date: _________________
Prepared by: Martha Acosta
Revised: March 16, 2009