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STUDENT DIRECT DEPOSIT AUTHORIZATION (El Paso Community College)

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The STUDENT DIRECT DEPOSIT AUTHORIZATION (El Paso Community College) form is 1 page long and contains:

  • 1 signature
  • 3 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

U.S.A. forms for El Paso Community College

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[ ] New
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[ ] Cancellation
All actions above must be
done in person
STUDENT DIRECT DEPOSIT AUTHORIZATION
PRINT Name (Last, First, Initial)
EPCC ID No./ SSN
Work Phone
Home Phone
Mailing Address
City/State
ZIP
NOTE: If student fails to provide complete and accurate information on this authorization form, the processing of the form
form may be delayed or made impossible, or the payments may be erroneously transferred electronically.
Student i
s responsible for verifying all the deposits with his/her bank before he/she issues any checks against his/her
account.
PLEASE CHECK ONE
[ ] CHECKING ACCOUNT [ ] SAVINGS ACCOUNT
Financial Institution Name:
City & State:
Financial Institution Routing/Transit Number:
Account Number:
• I authorize El Paso Community College to deposit by electronic transfer all monies owed to me to my
account at the financial institution designated above.
• I understand it is my responsibility to notify Accounts Payable at EPCC immediately if I become
aware of any changes in status or banking information or if I believe there is a discrepancy between
the amount deposited directly to my bank account and the amount I am entitled to.
• I understand that it is my responsibility to ensure funds availability with my respective financial institution.
El Paso Community College is not liable for any fees associated with insufficient funds charges.
Steps to Follow:
1. Complete the upper portion of the form, read information, sign and date.
2. Attach a voided check for checking account or a Direct Deposit Enrollment Form from your financial
institution. Do not attach a deposit slip.
3. Submit the completed form by emailing it to aalvar62@epcc.edu
4. To protect your privacy, you must submit a valid government issued photo ID, but not limited to driver’s
license, other state-issued ID, or passport in the email.
5. Pay notification will be posted on the student’s EPCC Campus Smart Start Network e-mail address.
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STUDENT DIRECT DEPOSIT AUTHORIZATION (El Paso Community College)

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Completed 4 February 2021

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