*HR022* Employee ID:
FREDERICK COMMUNITY COLLEGE
Direct Payroll Deposit Participation Form
I, ___________________________________, authorize Frederick Community College to initiate
credit entries and if necessary to initiate any debit entries to correct erroneous credit entries to my
account.
(Please select either Option 1 or Option 2)
Option 1: Deposit my entire pay to:
Bank Name: ABA./Routing# Account Number
Circle one: Checking Savings
Option 2: Deposit fixed amount of $ per pay to:
Bank Name: ABA./Routing# Account Number
Circle one: Checking Savings
AND
Deposit the remainder of my pay to
Bank Name: ABA./Routing# Account Number
Circle one: Checking Savings
To facilitate processing time and to avoid errors, YOU MUST attach a VOID check from your bank
account (s) to this form.
By clicking I confirm I am aware I will access my direct deposit information via
PeopleSoft Self Service after my first two live checks (due to pre-note process).
Checks are issued when any change is made to bank account information.
_____________________________ ______________________________
Date Employee Signature
______________________________
Employee ID# OR last 4 digits of SS#
RETURN TO PAYROLL BOX 112