Fillable DIRECT DEPOSIT AUTHORIZATION FORM (Kutztown University of Pennsylvania)

Fill Online, Printable, Fillable, Blank DIRECT DEPOSIT AUTHORIZATION FORM (Kutztown University of Pennsylvania) Form

Use Fill to complete blank online KUTZTOWN UNIVERSITY OF PENNSYLVANIA pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

DIRECT DEPOSIT AUTHORIZATION FORM (Kutztown University of Pennsylvania)

On average this form takes 3 minutes to complete

The DIRECT DEPOSIT AUTHORIZATION FORM (Kutztown University of Pennsylvania) form is 1 page long and contains:

  • 0 signatures
  • 0 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Kutztown University of Pennsylvania

BROWSE KUTZTOWN UNIVERSITY OF PENNSYLVANIA FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
DIRECT DEPOSIT AUTHORIZATION FORM
How Direct Deposit works –
The Pennsylvania State System of Higher Education notifies your financial institution electronically of the funds to be
deposited on your behalf. Your financial institution records this transaction into an account of your choice, creating
immediate access on the day of deposit. You receive an earnings statement documenting this payment. Only one deposit
can be made to one account at each institution.
9 It’s convenient -saves you a trip to the bank.
9 It’s faster - most banks post the funds to your account at the beginning of the day’s business on payday
allowing immediate access
9 It’s safer – Direct Deposit eliminates the worry of a lost or stolen paycheck
9 It’s confidential – funds are automatically processed and you can instruct the bank to apply them to your
savings or checking account
Name _____________________________________________________ Personnel Number ______________________
I hereby authorize the Pennsylvania State System of Higher Education to (circle one) Start / Change / Stop total bi-weekly payroll
deduction to the Financial Institution shown below. You may designate any bank, savings and loan association, or credit union in the U.S. that
(1) is a member of the Federal Reserve System and (2) accepts electronic funds transfer. Payroll will notify you if the institution you choose does
not qualify.
Financial Institution’s Name ______________________________________________________ (for net pay deposit)
Transit Routing Number ________________________________________________________
Type of Account _______________________________________________________________ (Checking or Savings)
2nd Financial Institution’s Name __________________________________________________
Transit Routing Number _______________________________________________________
__
Account Number _______________________________________________________________
Account Number #2 __________________________________________________________
__
Type of Account _______________________________________________________________ (Checking or Savings)
Deduction Amount _____________________________________________________________
Effective with pay date of _______________________________________________________
I have an established account at the Financial Institution indicated above, and authorize the Pennsylvania State System of Higher Education to
initiate credit entries and to initiate debit entries and adjustments for any credit entries in error to my (our) account(s) indicated above.
**I have provided a copy of a voided check (see attached) solely for the purpose of verifying my account
number and the Financial Institution's routing number. **
My authorization will remain in effect until revoked by me in writing or I terminate my employment with the Pennsylvania State System of
Signature ____________________________________________________________ Date _______________________
Co-Signature (If Joint Account)_____________________________________ __________________________________
Higher Education.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

DIRECT DEPOSIT AUTHORIZATION FORM (Kutztown University of Pennsylvania)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document