11/04/13
Direct Deposit
Clovis Community College offers the option of Automatic Payroll Check Deposit for the convenience of
all employees. We will deposit your payroll check each payday in the bank or financial institution of your
choice.
____________________________________________ ______________________
Name SS Number
____________________________________________ ______________________
Email Address Phone Number
GXADIRD
Bank/Financial Institution________________________________________________________________
Bank Routing # ___________________________ Bank Account #_____________________________
Checking Account
Savings Account
Attention: After request is processed you will continue to receive one or two paychecks.
We are required to send a pre-note to your bank to verify account numbers.
Form must be returned directly to Human Resource Services Office
Signature________________________________ Date
_________________________
Please attach a voided check or *deposit slip for account here
*Bank of America and Wells Fargo require a voided check
The direct deposit request will not be processed
without the proper form(s) attached
Please fill out information in spaces provided.
Signature required. Please return
completed form to Human
Resource Services.