Direct Payroll Deposit Or Gvra Debit Master Card Form

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Georgia Vocational Rehabilitation Agency
DIRECT PAYROLL DEPOSIT OR GVRA DEBIT MASTER CARD FORM
 What is direct payroll deposit or GVRA Debit Master Card (DMC)?
Direct payroll deposit or the GVRA Debit Master Card is a way to electronically deposit your net paycheck
into either your personal bank account, or electronically transfer your net pay onto a debit card on payday.
 Why should I use direct payroll deposit or GVRA Debit Master Card?
Imagine not having to worry about getting to the bank before it closes, no more waiting in line to deposit
your paycheck, or wondering how to get and deposit your paycheck if you are not scheduled to
work on payday. These are some of the benefits of direct payroll deposit.
 When is my net pay deposited into my account or onto my GVRA Debit Master Card?
Your net pay should be deposited by 2:00 p.m. on payday.
 How do I qualify and sign up for direct payroll deposit?
All Georgia Vocational Rehabilitation Agency employees qualify for direct payroll deposit. To sign up, complete
the form at the bottom of this page and attach a voided check or savings withdrawal slip. Then, give
it to your Human Resources office. The Human Resource office and payroll will take care of the rest.
 How do I qualify and sign up for the GVRA Debit Master Card?
All Georgia Vocational Rehabilitation Agency employees qualify for the GVRA Debit Master Card if they are unable to
establish a checking or savings account To sign up, complete the form at the bottom of this page and return to your HR
office.
Authorization Agreement for Automatic Deposit of Net Pay
I authorize the Georgia Vocational Rehabilitation Agency (GVRA) to deposit my net pay directly into my Bank/Debit
Master Card account. GVRA is also authorized to adjust any over/under deposit that it has caused to be made to my
account. I recognize that the deposit of my net pay shall be made by electronic means. I further acknowledge that the
responsibility of GVRA to provide me my net pay shall be satisfied by GVRA providing a correct credit entry in
accordance with the automatic deposit services agreement (credits) between GVRA, and SunTrust Bank, or Comerica.
The net amount of my paycheck is to be deposited into my:
Direct Deposit Option:
Routing Number
Account Number
□ Checking Account*
□ Savings Account*
□ GVRA Debit Master Card -
(An account number will be assigned and a DMC will be mailed to you)
*
ATTACH A VOIDED CHECK or SAVING WITHDRAWL SLIP
At
(name of your financial institution). Attached is a voided check or
savings withdrawal slip showing the correct information for my account. If I change my bank or my bank account, I
am responsible for notifying the GVRA Office of Financial Services Payroll Subsection in writing of the change
immediately.
In signing this authorization for direct payroll deposit or Debit Master Card, I understand that certain checks will not be
automatically deposited into my account bank account or on to my Debit Master Card but will be given to me. These
checks are:
1. First check after Payroll Subsection sets up Direct Deposit in my record. (Bank requires prior notification.)
2. First check after Payroll Subsection enters authorized changes in my bank account.
3. Last check paid to me upon my termination/resignation from the department.
4. Any check that is not run at least five (5) days prior to payday.
Signature:
Social Security Number:
Current Mailing Address:
Telephone Number:
Work Phone:
Date:
This completed form is to be maintained in the official personnel file.
Revision 5/2015

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