DIRECT DEPOSIT AUTHORIZATION
(domestic payments only no international deposits)
Submit this form along with a voided check or bank letter at least 2-4 business days before an expected refund.
By fax to: (954) 262-4131 OR scan and email from your NSU email address to loandisb@nova.edu.
By mail to: NSU Office of the University Bursar, 3301 College Avenue, Ft. Lauderdale, FL 33314-7796
In person to: One-Stop Shops in the Horvitz or Terry Administration Bldgs. on the Fort Lauderdale/Davie Campus
Check ONE box ONLY
By signing this form, I confirm that I have elected my funds to be direct deposited to a domestic U.S.
financial institution and that the direct deposit will not be part of a back-to-back transaction with a foreign
institution. I understand that in order to process my refund, whether by direct deposit or by check, my
preferred mailing address must be current and active. To view/update your mailing address, log in to your secure
SharkLink account at http://sharklink.nova.edu/ and click on the green WebSTAR tile in the application slider bar.
Select Personal Information and View/Update Address(es) and Phone(s).
Complete ALL information below:
_______________________________________________________________________ _____________________________________________________________________________
Student Name Student NSU ID
_______________________________________________________________________ _____________________________________________________________________________
Student’s Daytime Phone Number Student’s Banking Institution
_______________________________________________________________________ _____________________________________________________________________________
Student Signature (print form and handwrite signature) Date Signed
.
ATTACH VOIDED CHECK HERE FROM YOUR PERSONAL CHECKING ACCOUNT
Submit the completed form along with a voided check or bank letter signed by a bank officer with your personal
checking account information (not a parent’s or other person’s) to the Office of the University Bursar.
Starter OR temporary checks MUST BE SIGNED and include your name and address in the upper left corner.
NOT ACCEPTED:
someone else’s bank information (parent, spouse, business)
payroll deposit forms, bank statements, deposit/ withdrawal slips, savings account slips
savings accounts, prepaid card accounts, internet accounts, foreign accounts, business accounts, money market
accounts, cash management accounts
DIRDEP
*DIRDEP*
Authorization
Set up new authorization
Update existing authorization
(Your new information will overwrite previous information on
file. Do not cancel your direct deposit authorization, unless you
want to receive future refund(s) as a check.
I authorize NSU to electronically deposit my refund(s)
into my bank account. If a refund(s) is deposited, to
which I am not entitled, I authorize the electronic
return or adjustment by NSU. This authorization
remains in effect until NSU receives written
cancellation from me. Funds are generally available
within 2-3 business days. It is my responsibility to
verify funds are available at my bank before making
any transactions.
Cancellation
I request that NSU cancel my existing direct
deposit authorization on file.
I authorize NSU to issue future refunds to me by
check sent via U.S. Postal Service. I understand that
I may submit a new Direct Deposit Authorization at
any time to reinstate automatic deposit of refunds.
I understand that refunds deposited into my account
before this cancellation is processed may either be
accepted or returned to NSU by my bank. I
understand that funds returned to NSU will be
reissued to me within 3-5 business days. It is my
responsibility to contact my bank to obtain funds not
returned to NSU.
DIRDEP, REV 10/2018
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