ALABAMA A&M UNIVERSITY
One of the following MUST be provided in order to process this form:
A Number: Recent PO Number:
Tax ID Number:
Account Type: Checking Savings
Routing Number: Account Number:
Company Representative Printed
Company Representative Signature Date
Vendor Direct Deposit Enrollment For
Instructions: Fill out form in its entirety. Submit via email to GeneralAccounting@aamu.edu.
I hereby authorize Alabama Agricultural and Mechanical University to direct deposit my payments to my financial
institution(s) listed below until I terminate this agreement in writing. A terminated or new agreement shall become
effective within one week following receipt of this form.
In the event that funds are erroneously deposited into my account(s), I authorize Alabama Agricultural and
Mechanical University or the depository institution to debit my account for the purpose of correcting the error.
I acknowledge that:
(1) It is my responsibility to verify my a
ccount balance prior to making disbursements or withdrawals.
abama A&M University assumes no liability for bank errors, bank fees, or overdrafts.
(3) Deposit rejections will not be reprocessed until funds ha
ve been redeposited into the University's account.
new authorization must be completed when changing accounts or financial institutions, or when closing an
I certify that the information provided on this form is correct and that I am authorized to execute this document.
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