DIRECT DEPOSIT OF PAYROLL FUNDS by 7Q3dg431

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									                    DIRECT DEPOSIT OF PAYROLL FUNDS
                          AUTHORIZATION FORM
By my signature below, I authorize my employer, Saint Mary’s College of California, to initiate
credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries made
in error. I instruct Saint Mary’s College to deduct the amount specified from my wages and forward
said amount for credit to my account(s) as indicated below.

NAME________________________________________                     ID#___________________
               (Please print)

SIGNATURE__________________________________                      Date__________________

                     □ New                    □ Stop                    □ Change
    Bank________________________________________          Routing #___________________________

    Checking Account # _______________________________________ Amount____________________
                                                                                (Specify Amount or Net Pay)


    Savings Account # _________________________________________Amount ____________________
                                                                                (Specify Amount or Net Pay)

---------------------------------------------------------------------------
(for additional bank account)

                     □ New                  □ Stop                      □ Change
    Bank____________________________________________ Routing #____________________________

    Checking Account # _______________________________________ Amount____________________
                                                                                (Specify Amount or Net Pay)

    Savings Account # _________________________________________ Amount____________________
                                                                                (Specify Amount or Net Pay)


**PLEASE NOTE: Saint Mary’s has gone paperless with pay stubs! Your pay stubs will be available
to view online via GaelXpress at gaelxpress.stmarys-ca.edu.

     Directions for completing the Direct Deposit of Payroll Funds Authorization Form:
        1. Indicate your bank(s) for direct deposit and enter account & routing numbers, for
            each account.
        2. Select set amount for deposit to each account or state “Net Pay” if you are
            depositing your entire paycheck to one account.
        3. IMPORTANT: Attach a “VOIDED” check for each checking account.
        4. Sign and date this authorization form.
        5. Return form to Human Resources or Payroll Office.

Rev 9/07

								
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