City Of San Antonio Direct Deposit Form printable pdf download

City Of San Antonio Direct Deposit Form

City of San Antonio Direct Deposit Form

Employee Name __________________________

SAP Employee ID _______________

Personnel Area (Department)________________

Effective Date (must be first day of pay period)__________

Main Bank Information – This section MUST be completed if this is your initial request

or a replacement for primary bank

Bank Name and Location____________________________

□□□□□□□□□

Bank Key/Routing Number

□□□□□□□□□□□□□□□□□□*

Bank Account Number

□

Checking (01)

or Savings (02)

□

Is this SAN ANTOINIO CITY EMP FCU (314088572)?

Other Bank Information – This section is optional if you wish to redirect a specified

amount or percentage of your net check to an account other than your primary bank

Bank Name and Location____________________________

□□□□□□□□□

Bank Key/Routing Number

□□□□□□□□□□□□□□□□□□*

Bank Account Number

□

Checking (01)

or Savings (02)

□

Is this SAN ANTOINIO CITY EMP FCU (314088572)?

Amount Per Pay Period $______________ Or Deposit Percentage Per Pay Period __________%

Employee’s Signature ______________________________ Date ___________________

Information provided by: __________________________ Date ___________________________

Entered and Authorized by _________________ Logon____________ Date ________________

*To help ensure accuracy please attach a VOIDED check for verification.

COSA- Direct Deposit form (0009)

City Of San Antonio Direct Deposit Form