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Employee DIRECT DEPOSIT AUTHORIZATION FOR ACCOUNTS PAYABLE
Upon completing this form, submit the signed original to Idaho State University, Controller’s Office
921 S. 8
th
Ave, Campus Stop 8219, Pocatello, ID 83209, Fax: (208) 282-4725 or email form to acctspay@isu.edu.
TRANSACTION TYPE (Check all appropriate boxes.)
New setup
Change financial institution
Cancellation
Change account number
Change account type
PAYEE IDENTIFICATION
Banner #
OR
Bengal ID
Individual Name
Phone Number
Mailing Address
City
State
ZIP Code
FINANCIAL INSTITUTION (Completion by financial institution is recommended.)
Financial Institution Name
City
State
Routing Transit Number
Customer Account Number
Type of Account
Checking Savings
CANCELLATION
Reason
Date
It is important that you understand the direct deposit benefit and your responsibilities associated with it.
1. Note: After enrolling in Direct Deposit all funds specified will be deposited directly to your bank account unless this
agreement is terminated or amended by written notification. It is each employee’s responsibility to notify the ISU
Controllers office in writing (by submitting this document with the Transaction Type marked as Change or Cancellation). If a
change to your bank account occurs without the University receiving written notification, a delay in the receipt of funds will
occur (up to 10 business days). If funds are direct deposited to your account in error, the University may initiate a debit
transaction against the account to recover/remove the funds.
2. Employees will receive email notification to their ISU email providing advance notice of the payment posting to the
employee’s account.
3. It is your responsibility to verify the funds have been deposited into your account. Idaho State University is not responsible
for any bank charges or overdrafts to your account.
4. Payments will be considered complete when your financial institution has received or has control of the payment (which
may not coincide with the posting of funds to your account).
Page # 1 of 2
Revised July 2012
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5. ISU is not responsible for any loss arising from error, mistake, or fraud in the information you provide or from a loss of data
caused by the actions of another financial institution.
ISU hereby agrees to provide the above-named employee with at least 10 days advance notification of the amount(s) to be
deducted and the date(s) on which the deduction will occur. This notification will be provided in writing or by email to the
employee’s ISU-provided email address.
7.
For additional information or assistance, please contact the ISU Accounts Payable office by:
Email: acctspay@isu.edu
Phone: (208) 282-2511 or (208) 282-4207
Please attach a voided check
or
Bank Direct Deposit
Authorization Form
AUTHORIZATION FOR SETUP, CHANGES OR CANCELLATION
I authorize the Idaho State University Accounts Payable office to deposit payments to my financial institution electronically.
I also agree to comply with the National Automated Clearing House Association’s rules and Idaho State University’s Policies and Procedures for electronic payments
at all times.
Authorized Signature
Printed Name
Date
Page # 2 of 2
Revised July 2012
6. From time to time during your employment with Idaho State University (“ISU”), you may incur debt to ISU. This debt can be
incurred for things such as travel advances, fines, tuition and fees, returned checks for non sufficient funds, and departmental
charges among other things. By submitting this document for direct deposit you are granting ISU the authority to deduct any
past due amounts you owe ISU up to a maximum amount equal to one-half of the reimbursement and to continue such
deductions until the debt is fully discharged. This authorization is not revocable.
Travel Advance – I understand that travel advances will be deposited directly into my bank account. These amounts must
be substantiated by travel reimbursement requests
with accompanying receipts. Travel reimbursement form must be
filed w
ith the Accounts Payable office within 15 days of the return date of associated travel.
By s
igning this document you authorize ISU to deduct from your pay any travel advance balances that are past due. You
also acknowledge that if payroll deduction becomes necessary to pay outstanding balances that you will not be eligible
for future travel advances without express permission from the vice president for finance and administration.
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Completed 19 November 2019

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