Fillable Direct Deposit (Alvin Community College)

Fill Online, Printable, Fillable, Blank Direct Deposit (Alvin Community College) Form

Use Fill to complete blank online ALVIN COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Direct Deposit (Alvin Community College)

On average this form takes 9 minutes to complete

The Direct Deposit (Alvin Community College) form is 1 page long and contains:

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

Country of origin: US
File type: PDF

U.S.A. forms for Alvin Community College

BROWSE ALVIN COMMUNITY COLLEGE 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
 
EMPLOYEE DIRECT DEPOSIT AUTHORIZATION
Direct Deposit is mandatory at Alvin Community College. Complete this form and attach a voided check for each checking account – not a deposit
slip. If depositing to a savings account, request the Routing/Transit Number from the financial institution; it is not always the same as the number
shown on a savings deposit slip. Completed forms may be submitted to the Human Resources Office or the Business Office.
(PRINT OR TYPE)
EMPLOYEE INFORMATION
NAME:
SSN:
MAILING ADDRESS:
STREET OR PO BOX
CITY
STATE
HOME PHONE:
WORK PHONE:
CELL PHONE:
TRANSACTION REQUEST
NEW AUTHORIZATION
CHANGE FINANCIAL INSTITUTION / ACCOUNT
ADD NEW ACCOUNT INFORMATION
Below is a sample check MICR line, detailing where the information necessary to complete this form can be found.
Memo
I: 012345678 I:
123456789
0101
ACCOUNT INFORMATION (Make sure to indicate the type of account, along with the amount to be deposited fi less than your total net paycheck)
ACCOUNT # 1
FINANCIAL INSTITUTION:
ACCOUNT TYPE:
CHECKING
SAVINGS
CITY / STATE:
ROUTING/TRANSIT #:
PHONE:
ACCOUNT #:
AMOUNT TO DEPOSIT:
$
or
BALANCE OF NET
ACCOUNT # 2
FINANCIAL INSTITUTION:
ACCOUNT TYPE:
CHECKING
SAVINGS
CITY / STATE:
ROUTING/TRANSIT #:
PHONE:
ACCOUNT #:
AMOUNT TO DEPOSIT:
$
or
BALANCE OF NET
ACCOUNT # 3
FINANCIAL INSTITUTION:
ACCOUNT TYPE:
CHECKING
SAVINGS
CITY / STATE:
ROUTING/TRANSIT #:
PHONE:
ACCOUNT #:
AMOUNT TO DEPOSIT:
$
or
BALANCE OF NET
AUTHORIZATION / CERTIFICATION
I authorize Alvin Community College to deposit, via electronic transfer, all payroll payments owed to me by Alvin Community College to the account designated
below. I recognize that if I fail to provide complete and accurate information, the processing of the funds may be delayed.
I authorize Alvin Community College to withdraw from the designated account or deduct from my subsequent salary, if any, all amounts deposited in error. If the
designated account is closed or has an insufficient balance to allow the withdrawal, then I authorize Alvin Community College to withhold any payments owed to me
until the amounts are repaid.
I understand that if I have any changes in banking information, I must submit a new Direct Deposit Authorization form.
In consideration for Alvin Community College making direct deposit through agreement with the current Depository for College funds, the undersigned releases the
liability and waives all claims for direct, indirect, and consequential damages resulting from errors and omissions, if any, made by Alvin Community College, its
trustees, agents, or employees, or by the current Depository for College funds, as authorized by me. This release of liability does not release Alvin Community
College or the current Depository for College funds from any claim for damages resulting from failure of either Alvin Community College or the current Depository
for College funds to act in good faith.
I authorize direct deposit of my monthly salary as specified above.
AUTHORIZATION DATE
(R-01/15/13))
ALVIN COMMUNITY COLLEGE ■ 3110 MUSTANG ROAD ■ ALVIN, TEXAS 77511
281.756.3500 ■ www.alvincollege.edu
Routing/Transit #
(A 9-digit number always
between these two marks)
Checking Account #
Check #
Corresponds to the number in the upper right corner
of the check; not required for direct deposit
SUBMIT
To protect confidentiality, Alvin Community College and most other internet service providers, utilize encrypted e-mail protocols and authentication processes for delivery /
receipt of data. If you have concerns regarding unauthorized access of your information or prefer not to use electronic data exchange / electronic transactions, including
submission via e-mail attachment, contact HR at 281-756-3639 or hr@alvincollege.edu for other options.
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 (Alvin Community College)

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 24 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document