Fillable I authorize Lurleen B. Wallace Community College to (Lurleen B Wallace Community College)

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I authorize Lurleen B. Wallace Community College to (Lurleen B Wallace Community College)

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PS Revised 07/01/03
I authorize Lurleen B. Wallace Community College to direct deposit my payroll check into the
following account until further notice.
Checking Account Savings Account
_________________________ _____________________________________________
Date Employee Name (Printed)
_________________________ _____________________________________________
Employee Number Employee Signature
PLEASE ATTACH A VOIDED CHECK BELOW
(Deposit Slips Cannot Be Used)
DIRECT DEPOSIT AUTHORIZATION
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I authorize Lurleen B. Wallace Community College to (Lurleen B Wallace Community College)

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Completed 2 February 2021

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