Direct Deposit Form
Action Establish Change Existing Discontinue
Deposit I hereby authorize The Chicago School to deduct the following from my paycheck
Allocation each pay period and deposit that amount/percent into the specified account.
Checking Account Savings Account
Amount Deposited in Amount Deposited in
$ CHECKING $ SAVINGS
Documentation ATTACH A VOIDED CHECK OR SAVINGS DEPOSIT SLIP HERE
It is necessary for the employee to provide his/her bank account and transit
routing numbers for transactions to be processed.
Document provided must have bank-imprinted account and transit routing
Please, complete the information below:
Transit Routing #:
Authorization I hereby authorize The Chicago School to make payment deposits to the account
indicated above and on the attached voided banking document. I understand that
it is my responsibility to verify funds are available before making transactions. I
acknowledge that I am responsible for informing the Accounting Department of
changes to my account information and banking institution. In the event of an
overpayment, I authorize The Chicago School to make the necessary adjustments
to my next payment or debit my account for the payment overage. This
authorization is subject to all federal and state laws. In addition, authorization will
remain in effect until I change my existing information or discontinue service.
Once complete, submit this document to email@example.com