Fillable Direct Deposit Authorization Agreement (Gadsden State Community College)

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Direct Deposit Authorization Agreement (Gadsden State Community College)

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Direct Deposit Authorization Agreement
GADSDEN STATE COMMUNITY COLLEGE
I hereby authorize Gadsden State Community College, to initiate credit entries and to initiate, if necessary,
debit entries and adjustments for any credit entries in error to my account indicated below and the bank
named below, to credit and debit the same entries to such account. **Note: To ensure that your check is
deposited into the correct account – notify Payroll if you currently have direct deposit.
BANK NAME: ________________________________________________
CITY: _______________________________________ STATE: ________________
Account Type: __________Checking __________Savings
ACCOUNT NUMBER: _________________________________
BANK TRANSIT NO: _______________________________
This authority is to remain in full force and effect until Gadsden State Community
College has received written notification from me on its termination in such time and in
such manner as to afford Gadsden State Community College a reasonable time to act on
it.
NAME: (print) ______________________________________________
SSN/G#: ____________________________
SIGNATURE: _______________________________________________
DATE: __________________
EMAIL ADDRESS: ________________________________________
**All direct deposit stubs will be sent via email**
ATTACH VOIDED BLANK CHECK
OR
Letter from bank verifying the correct routing and account number
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Direct Deposit Authorization Agreement (Gadsden State Community College)

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Completed 25 July 2020

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