Fillable As532 (Louisiana State University)

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As532 (Louisiana State University)

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Rev 08/07
Louisiana State University
Office of Accounting Services
Payroll
204 Thomas Boyd Hall
REQUEST FOR DIRECT DEPOSIT WAIVER AS532
Employee _______________________________________ LSU ID __________________________
Address _______________________________________ Phone __________________________
_______________________________________ E-mail __________________________
_______________________________________
Waiver Statement
I, ______________________________________________, hereby request waiver of the requirement for direct
(Print name)
deposit of my future paychecks for the following hardship reason:
Supporting documentation must be included to support this request
Unable to establish account
Work-Study recipient
Other
Please use this space to explain above indicated reason:
I understand that if my request for waiver of the payroll direct deposit requirement is approved, my paycheck will be
mailed to my current address in the Payroll system on payday.
___________________________
Signature Date
------------------------------------------------------------------------------------------------------------------------------------------------------
FOR ACCOUNTING SERVICES USE ONLY
Approved Denied
Processed by _________________________________ Date ________________________
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As532 (Louisiana State University)

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Completed 21 July 2020

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