Fillable DIRECT DEPOSIT FORM *RETURN TO PAYROLL* (Colorado School of Mines)

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DIRECT DEPOSIT FORM *RETURN TO PAYROLL* (Colorado School of Mines)

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File type: PDF

U.S.A. forms for Colorado School of Mines

BROWSE COLORADO SCHOOL OF MINES FORMS

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DIRECT DEPOSIT FORM *RETURN TO PAYROLL*
Effective May 1, 2000, the State of Colorado Fiscal Rules (Rule 9-2) require that all employees be on the Direct Deposit
Payroll Program.
Please note: It is important that you fill out as much information as possible to prevent delays with your pay. Please
complete and return this form along with one (1) voided check or a copy of a Direct Deposit Authorization Form from your
bank to the PAYROLL DEPT.
****Please notify Payroll Services immediately, should you close or make any changes to your account(s). Direct
deposit(s) processed against a closed account can delay your pay up to 5 business days. ****
___ Enroll in Direct Deposit* ___ Replace Current Account* ___Additional Checking/Savings*
*Voided check or Bank Authorization form REQUIRED
___CANCEL existing Direct Deposit (Close Account)
Name:
CWID #:
Primary Account: [For remaining bal. if choose secondary account]
Savings:
Routing No
Checking:
Account No:
Bank Name:
Bank Phone No.
(if known)
Secondary Account: [Amount Specified]
Savings:
Routing No
Checking:
Account No:
Specific $ Amount:
Bank Name:
Bank Phone No.
(if known)
CSM Department: __________________________ CSM Extension or Contact No.:_________________
(Check one)
___Undergraduate ___Graduate ___ Classified ___Temp. Classified ___ Faculty___ Other
Signature: __________________________________ Date: ___________
Please TAPE your voided check here. DO NOT STAPLE
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DIRECT DEPOSIT FORM *RETURN TO PAYROLL* (Colorado School of Mines)

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Completed 22 July 2020

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