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.
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signature
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