Fillable Direct Deposit Form (Southern Utah University)

Fill Online, Printable, Fillable, Blank Direct Deposit Form (Southern Utah University) Form

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

Direct Deposit Form (Southern Utah University)

On average this form takes 17 minutes to complete

The Direct Deposit Form (Southern Utah University) form is 1 page long and contains:

  • 0 signatures
  • 9 check-boxes
  • 64 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Southern Utah University

BROWSE SOUTHERN UTAH UNIVERSITY 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
 
DIRECT DEPOSIT AUTHORIZATION
Upon completing this form, submit the signed original to Southern Utah University,
Controller’s Office, 351 W. University Blvd., Cedar City UT 84720.
PAYEE CLASSIFICATION
□ Employee Payroll (Please attach voided check or bank authorization form)
□ Student or Employee Refund/Reimbursement
□ Vendor
TRANSACTION TYPE (Check all appropriate boxes.)
□ New setup
□ Change financial information
□ Cancellation
□ Change account number
□ Update contact information
□ Change account type
PAYEE IDENTIFICATION
Social Security number or
Federal Employer’s Identification (FEI) ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
OR SUU T Number _T_ ___ ___ ___ ___ ___ ___ ___ ___
Name
Phone Number
( )
Email Address (REQUIRED)
Mailing Address
State
ZIP Code
FINANCIAL INSTITUTION
Financial Institution Name
City
State
Routing Transit Number
___ ___ ___ ___ ___ ___ ___ ___ ___
Customer Account Number
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Type of Account
□ Checking □ Savings
Percent/Amount
CANCELLATION
Reason
Date
AUTHORIZATION FOR SETUP, CHANGES OR CANCELLATION
I authorize Southern Utah University (SUU) to deposit payments to my financial institution electronically. I further understand that SUU will reverse any payments
made to my account in error.
I also agree to comply with the National Automated Clearing House Association’s rules and SUU Policies and Procedures for electronic payments at all times.
Authorized Signature
Printed Name
Date
Note:
1) After enrolling in Direct Deposit, all funds specified will be deposited directly to your bank account unless this
agreement is terminated or amended by written notification.
2) It is your responsibility to notify SUU in writing of any changes to your bank account. Your direct deposit will remain
active until you inactivate it with SUU.
3) If funds are direct deposited to your account in error, SUU may initiate a reversal against the account to
recover/remove the funds. If such a case arises, you will be contacted prior to the reversal.
4) SUU is not responsible for any bank or overdraft fees charged to your account.
5) Email notification will be provided prior to the payment posting to your account.
6) Payroll Direct Deposit will be delayed one full pay period if Direct Deposit Authorization forms do not include either
a voided check or bank authorization form.
For vendor or reimbursement questions please contact:
Accounts Payable
Email: accountspayable@suu.edu Phone:
(435) 586-7730 or (435) 586-7964
For payroll questions, please contact:
Human Resources
Email: jobs@suu.edu
Phone: (435) 586-7754
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 Form (Southern Utah University)

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 26 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document