Revised March 2020
TAKE ADVANTAGE OF DIRECT DEPOSIT AND PAY CARDS TODAY
Your paycheck will be credited to your account on pay day through either Direct Deposit to your own
Banking Institution OR Fulton County’s PayCard Program through Bank of America. Select one of the
options below and return completed form(s) to the Payroll and Benefits Division for processing.
Completed forms may be emailed to payrollunit@fultoncountyga.gov for processing!
PAYROLL DEADLINE
The payroll deadline is 12 noon on the Friday before pay day.
1. Direct Deposit – Forms received by the payroll deadline will take effect on the next pay day.
2. Pay Cards – Forms received by the payroll deadline will take effect two (2) pay days later.
LEGAL NAME: EMPLOYEE ID# OR LAST 4 OF SSN:
DEPARTMENT: PHONE NO.
SELECT ONE OF THE FOLLOWING OPTIONS:
You must attach a copy of a voided check for a checking account deposit. If you choose a savings
account deposit, documentation from your bank is required as to the correct routing number and
account number to process your direct deposit.
NAME OF BANK:
ROUTING NO.
(First grouping of 9 numbers at the bottom of your check)
DEPOSIT TO MY CHECKING ACCOUNT
Voided Check Attached
ACCT. NO.
DEPOSIT TO MY SAVINGS ACCOUNT Bank Documentation
Attached
ACCT. NO.
I understand that I can terminate the direct deposit of payroll by giving written notice, subject to Finance Department Payroll
deadlines and be automatically enrolled in the Pay Card Program. I authorize credit entries and any adjustments to be made to my
account. I understand that if my account is closed or changes are made after the payroll deadline, it will result in a delay of my
direct deposit payroll funds. I also understand that if my payroll funds are returned to Fulton County I will be automatically enrolled
in the Pay Card program if updated banking information is not received by the next payroll deadline. If I am automatically enrolled
in the Pay Card Program, I have been provided with a list of the applicable fees associated with this account.
PAYROLL & EMPLOYEE BENEFITS DIVISION
141 PRYOR STREET, S.W., SUITE 7001
ATLANTA, GEORGIA 30303
TELEPHONE (404) 612 -7605
Email: payrollunit@fultoncountyga.gov
I choose to enroll in the Direct Deposit Program.
In lieu of the Direct Deposit Program to my Banking Institution of choice, the Fulton County
PayCard should be set up. I have been provided with a list of any applicable fees associated
with this account. I authorize credit entries and any payroll adjustments to be made to my
Signature of Employee: _______________________________ Date: _____________________________
I understand that if I do not select an option from above, I will be automatically enrolled in the Fulton County
Payroll Card Program through Bank of America.
