Authorization for Direct Deposit
As a condition of employment, as allowed by Iowa Code Section 91A.3(3) and 91A.6, we require that all payroll checks from
Indian Hills Community College will be deposited directly into your checking and/or savings account.
Name: ______________________________________ Employee ID: _____________________
Effective Date: □ Next Available Pay □ Future Pay Date: ___________________________
I understand that the accuracy of the information provided is my responsibility and that any errors will cause a delay in the deposit of
funds. I also understand that it is my responsibility to immediately notify the IHCC Payroll Office should I change banks or account
numbers. Any changes made within two weeks of a payday may not become effective until the next pay period.
SIGNATURE: ___________________________________________ DATE: ____________________
Pay Advices are generated electronically and can be accessed through WebAdvisor. See Payroll for instructions.
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Type of Account □ Checking □ Savings
ACCOUNT # _____________________________ ABA/ROUTING #
BANK OR FINANCIAL INSTITUTION: ______________________________________________________
CITY AND STATE: _______________________________________________________________________
Deposit Amount: $____________ (flat amount) OR □ All
Second Account (Optional)
Type of Account □ Checking □ Savings
ACCOUNT # _____________________________ ABA/ROUTING #
BANK OR FINANCIAL INSTITUTION: ______________________________________________________
CITY AND STATE: _______________________________________________________________________
Deposit Amount: $____________ (flat amount) OR □ Remaining
Type of Account □ Checking □ Savings
ACCOUNT # _____________________________ ABA/ROUTING #
BANK OR FINANCIAL INSTITUTION: ______________________________________________________
CITY AND STATE: _______________________________________________________________________
Deposit Amount: $____________ (flat amount) OR □ Remaining
