VIEWS: 11 PAGES: 2 POSTED ON: 4/17/2010
PAYROLL DIRECT DEPOSIT OPTION If you want direct deposit, complete below and return to the NH Finance Department Allow (2) two weeks / one complete pay cycle SCA’s payroll service offers a direct deposit option. Each employee is entitled to request direct deposits into two (2) savings account and two (2) checking accounts. If you wish to take advantage of this service, please complete the items below. Actual direct deposits begin about two weeks after the form is submitted to SCA’s payroll service. Your Bank can provide you with its ABA number. This is the number which identifies your Bank as the funds are transferred through the Federal Reserve Bank. It is extremely important that the bank numbers you provide are correct. Check with your Bank and verify; this is important if your Bank has recently merged with or by another Bank. Written instructions from you are required to start the direct deposit option. I authorize SCA to initiate the following direct deposit to my saving and / or checking account (s) as soon as possible. I have verified my Bank’s ABA number and my account number. I have attached a (voided) check (s) for verification of my checking account (s), and / or a copy of a deposit stub for verification of my saving account(s) and have called my Bank for verification. Signature_________________________________________Date______________________ Printed Name: Location / Program: Direct Deposit instructions for CHECKING account (s) (Attach copy (s) of voided check (s) and verify with Bank) Full Deposit : _______ Partial Deposit : _____ (complete below if partial) 1. Bank ABA # ___________________________ (Checking Account # 1) Employee Account # _____________________Amount $ _____________ 2. Bank ABA # ____________________________(Checking Account # 2) Employee Account # _____________________Amount $ ______________ Direct Deposit instructions for SAVING account (s ) Full Deposit : _______ Partial Deposit : _____ ( complete below if partial) (Attach copy of Deposit stub(s) and verify with Bank) 1. Bank ABA # _______________________________ (Savings Account # 1 ) Employee Account # ________________________Amount $ ____________ 2. Bank ABA # _______________________________( Savings Account # 2 ) Employee Account # _________________________Amount $ ___________ microword/dirdep
"PAYROLL DIRECT DEPOSIT OPTION"