Payroll Direct Deposit Enrollment Form
Employee Information
Employee Name:
Red ID:
Home Address Including Street:
City: State: Zip Code:
Work Phone:
Home Phone:
You are limited to three (3) accounts in any Combination
E-mail Address:
I authorize San Diego State University Research Foundation (SDSURF) to initiate credits (and/or corrections to the
previous credits) to the above designated financial institutions. This authorization is to remain in full force and effect
until I revoke it in writing. By signing this authorization, I understand all of the following:
1. I must attach account verification document (voided check, member ID card) OR BANK STATEMENT.
2. Direct deposit pay stubs may be viewed and printed by logging into Employee Gateway on the SDSURF web
site.
3. My financial institution has until midnight of the pay date (or first working day thereafter) to credit my account.
4. If I change financial institutions or account information within the same financial institution, I will receive one
paycheck before the new authorization begins.
5. I must notify the SDSURF payroll department immediately of any account changes or closures. NOTE: Failure
to notify the payroll department of changes to your bank account may delay receipt of your paycheck.
6. If my employment status is inactive in excess of six months, I understand that my direct deposit deduction may
be terminated and I must contact SDSURF's payroll department to obtain direct deposit reinstatement
information.
Signature of Employee: Date:
For Payroll Use Only
Verification:Effective Payroll Date:
Last updated 3/30/2020
If you are requesting only one direct deposit, please indicate 100%. If you are requesting more than one direct deposit, the allocation between
your accounts must be in dollars with one account authorized for the remaining amount.
Financial Institution Name
Routing
Number
Account
Number
100% of
Net Pay
Indicate account to
deposit any
remaining balance
Your direct deposit information will be applied to accounts payable if you receive a reimbursement. If more than one accounts are listed,
please indicate the account to use for accounts payable:
Checking Savings
Dollar
Amount
Direct Deposit Activation Date:
