Authorization Agreement For Direct Deposit
Download a blank fillable Authorization Agreement For Direct Deposit in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Authorization Agreement For Direct Deposit with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1AUTHORIZATION AGREEMENT FOR
AUTOMATIC DIRECT DEPOSITS
You must complete this form to add, change or delete direct deposit information. Do not close an
account unless you cancel your direct deposit first. You may have your check deposited in up to three
accounts. Please read this form carefully and write clearly; otherwise your direct deposit will be delayed.
If this is a new account you must:
1)
Already have the account/accounts opened and active at your financial institution.
2)
Make sure your bank/credit union accepts payroll direct deposits.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
1.
Cancel Account
Change Amount
New Account – attach voided check
Bank, Savings & Loan, Credit Union Name ____________________________________________________
Bank Routing # _________________________ Bank Acct #______________________________________
(9 digits)
Account type:
Checking
Deposit:
Full Deposit
Savings
Partial Deposit $ _________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
2.
Cancel Account
Change Amount
New Account – attach voided check
Bank, Savings & Loan, Credit Union Name ____________________________________________________
Bank Routing # _________________________ Bank Acct #______________________________________
(9 digits)
Account type:
Checking
Deposit:
Full Deposit
Savings
Partial Deposit $ _________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
3.
Cancel Account
Change Amount
New Account – attach voided check
Bank, Savings & Loan, Credit Union Name ____________________________________________________
Bank Routing # _________________________ Bank Acct #______________________________________
(9 digits)
Account type:
Checking
Deposit:
Full Deposit
Savings
Partial Deposit $ _________
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I authorize the Catholic Diocese of Rockford to electronically deposit my paycheck directly into my bank
account. I also authorize the Catholic Diocese of Rockford to electronically withdraw from my account
any sum erroneously credited to my account.
Name (please print) ___________________________________ Signed __________________________________________
Parish, Office, or School Name ___________________________________City ____________________ Date _____________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business