ORAL ROBERTS UNIVERSITY
STUDENT DIRECT DEPOSIT AUTHORIZATION AGREEMENT
FOR REACTIVATED STUDENTS
Student Name:
Last First Middle
Z#: Phone#:
□ I AUTHORIZE MY EMPLOYER, Oral Roberts University, TO REACTIVATE THE DIRECT
DEPOSIT TRANSACTION.
I VERIFY THAT MY ACCOUNT INFORMATION HAS NOT CHANGED.
□ MY ACCOUNT INFORMATION HAS CHANGED SINCE MY PREVIOUS EMPLOYMENT AS
A STUDENT WORKER. BELOW IS MY UPDATED DIRECT DEPOSIT INFORMATION.
NOT□ TO REACTIVATE THE DIRECT DEPOSIT TRANSACTION. I CHOOSE AT THIS TIME
Student Signature:
Date:
STUDENT DIRECT DEPOSIT AUTHORIZATION AGREEMENT
COMPANY NAME: Oral Roberts University
I AUTHORIZE MY EMPLOYER, Oral Roberts University, TO DEPOSIT MY NET PAY TO MY
CHECKING/SAVINGS ACCOUNT IN THE BANK NAMED BELOW. I AUTHORIZE THE
BANK/CREDIT UNION TO ACCEPT AND TO CREDIT THE AMOUNT OF THAT ENTRY TO MY
ACCOUNT.
Bank Name:
City: State:
Transit Routing #: Account #:
SAVINGS (CHECK ONE) □ CHECKING OR □
Employee Name:
Daytime Phone #:Z#: Date:
Employee Signature:
Please attach a VOIDED check for processing