Baldwin Wallace University – Student Direct Deposit Form
□ 1. New Student Employee
□ 100% of pay to Bank Account
□ 100% of pay to BW Billing Account
□ Split Pay:
(Note: Must equal 100%)
______% of pay to BW Billing Account
______% of pay to Bank Account
**If choosing a Bank Account option, please
provide Bank Account Information below.**
□ 2. Current or Previous Student Employee
(Please select all changes that apply below)
□ Do you want to change your BANK
ACCOUNT information?
(complete section 3)
OR
□ Do you want to change your BW
BILLING ACCOUNT information?
(complete below)
Account Percentages:
(Note: Must equal 100%)
______% of pay to BW Billing Account
______% of pay to Bank Account
3. Bank Account Information
Bank Name__________________________________________________
Routing/Transit ABA Number ___ ___ ___ ___ ___ ___ ___ ___ ___
EXAMPLE: 041000124
Bank Account Number _________________________________________
□ Checking □ Savings
I authorize BWU and/or the banking institution listed above to deposit my net pay into my account each pay date. If funds to which I am
not entitled are deposited to my account, I authorize BWU and/or the banking institution to return said funds to BWU. I understand that
my deposit may not be credited to my account until 5:00PM on the pay date indicated on the check voucher. I further understand that it
is my responsibility to verify that funds have been directly deposited into my account prior to expending those funds.
Signature: ____________________________
Name: _______________________________
Email: ________________________________
Date: _______________________________
Student ID #: _________________________
Last 4 digits of Social Security #: __________
Please complete and return this form to the Student Employment Center located in 211 Bonds Hall.
click to sign
signature
click to edit
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