Office of Human Resources ● PO Box 9701, McAllen TX, 78502 ● Phone: (956) 872-4448 ● Fax: (956) 872-4445
DIRECT DEPOSIT AUTHORIZATION
FOR PAYROLL AND ACCOUNTS
PAYABLE
Monthly Paid Employee Semi-Monthly Paid Employee
Please check all that apply:
Name: Employee. I.D.: A
Address:
Telephone #:
City: State:
Zip Code:
Payroll Bank Account Information:
Accounts Payable (Travel & mileage reimbursements) Bank Account Information:
I authorize South Texas College and the financial institution named above to deposit by automated clearing house
(ACH) transfer payroll and accounts payable payments owed to me by South Texas College and, if necessary, debit
entries and adjustments for any amounts deposited electronically in error. If the designated account is closed or has an
insufficient balance to allow the withdrawal, then I authorize South Texas College to withhold any payments owed to
me by South Texas College until the erroneously deposited amounts are repaid. I consent to and agree to comply with
the rules about electronic transfers as they exist on the date of my signature on this form or as subsequently adopted,
amended or repealed. I understand that this authorization will remain in full force until I cancel it in such time to afford
South Texas College and the financial institution a reasonable opportunity to act on it.
Steps to Follow:
1. Complete all required information of the form, read information, sign and date
2. Verify all financial institution and account information is correct
3. Submit the completed form to the Office of Human Resources
Employee Signature: Date:
Please submit original form to
Office of Human Resources
JCH 05/2018
Financial Institution Name: Routing # Account #
Checking
Savings
Percentage Amount
%
$
Financial Institution Name: Routing # Account #
Checking
Savings
Percentage
Remaining Balance
%
Financial Institution Name: Routing # Account # Checking Savings
NEW ACCOUNT CANCELLATION
Existing Checking Account
Existing Savings Account
REVISIONS
Change Account #/ Type
Change Amount/ %
EMPLOYEE INFORMATION: (Must be completed by the employee)
FINANCIAL INSTITUTION AND DEPOSIT INFORMATION