City Of Houston - Direct Deposit Authorization Page 2
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2Account Consent Form
I am providing the same consent for recovery from the other account holder by the signature below. I understand that the City will not
begin a direct deposit to a joint account without the other account holder's permission for correcting debits.
From time to time, the City may need to correct the amount paid to me, which could result in payment by check. The City is not
responsible for forwarding these checks to my bank. These checks will be delivered to me through my regular pay location.
I recognize that the City will automatically end direct deposit if the information needed to deposit my pay is no longer valid due to any
changes made by my bank. In such case, it is my responsibility to provide the City with the updated deposit information to renew direct
deposit.
If I change banks or accounts, I acknowledge that I must allow one month after I notify my department's payroll representative in writing. I
must provide the City the name of a new bank and any new bank or account routing information for the direct deposit to be made to the
new bank or account. This allows the City and banking system to re-execute the bank prenoting process.
If I wish to discontinue direct deposit, I acknowledge that I must notify my department's payroll representative in writing by the end of the
current payday so the next check will be printed for delivery to me rather than being deposited directly to the account I specified.
I have attached a void check to confirm the bank and account information.
Is this account a Joint Account?
Yes
No
________________________________________
______________________________
Second Account Holder
Date
Primary Account Holder
Date
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Parent category: Business