Direct Deposit Unc Chapel Hill Libraries - The University Of North Carolina
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11106.1.2f - Direct Payroll Deposit Authorization Form for
Faculty, Post-Docs, and EPA Student Employees
Instructions:
• Submit a direct deposit authorization form upon hiring and whenever your bank or account information changes.
• This form (PR-8A) is for use by Faculty, Post-Docs, and EPA Student Employees only
If you are uncertain whether this includes you, ask your department’s Human Resource Officer.
• Initial authorizations with this form must be certified by the Department’s Human Resources
or other Department Representative prior to submission. Forms lacking the required certification will be returned.
(Submissions for a change in bank or account do not require certification.)
• Give completed form to your Human Resource Facilitator or submit to Payroll Services, CB# 1260, UNC-Chapel Hill,
Chapel Hill, NC 27599-1260.
• Please print or type.
Check one:
New Authorization
Change in Bank or Account
1. Bank or Credit Union Name
2.a. City
2.b. State
3. Employee Name
4. Account Type (check one)
Checking
Savings
5. Employee PID
6. Bank or Credit Union Transit Number
7. Bank or Credit Union Account Number
8. Employee Type:
Faculty, Post Doc, or EPA Student Employee paid on the monthly payroll
•
I authorize my employer, The University of North Carolina at Chapel Hill, to deposit my net payroll earnings to
my bank account indicated on this form.
•
I understand that, should I terminate University employment, my final paycheck will not be deposited to my
bank account but will be forwarded to my department.
•
IRS Federal Regulations require that if you forward the entire amount of your direct deposit from your U.S.
bank to a bank in another country, you must advise Payroll Services 919-962-0046 or payroll@unc.edu
9. Date
Signature
11. Attach a pre-printed VOIDED CHECK from your bank or credit union checking account
below. For direct deposit to a savings account, attach written documentation.
DEPARTMENTAL USE ONLY: I-9 CERTIFICATION
I certify that Section One and Section Two of Form I-9, Employment Eligibility Verification, have been completed and that
Form I-9 indicates that the employee for whom this initial payroll direct deposit request is submitted is eligible to work in the
United States.
HRF/Departmental Representative Signature: _______________________________
Date: ___________
Departmental Representative Name and Title: _________________________________________________
New authorization forms not certified above will be returned.
1106.1.2f - Direct Payroll Deposit Authorization Form for Faculty, Post-Docs, and EPA Student Employees
Revised 9/22/14
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