ࡱ> e NbjbjJJ "(_b(_bi U>>   8V4*@&u'l8)))))))$-/T) 5@u)Cz*!!!R8 )!)!!:&,W'mz& )*0*'R 04 0W' 0 W'h!))!* 0>B :  Direct Deposit Authorization  Employee payroll at ɫAV University is handled by a direct deposit system. This system works by using the information that you provide to setup designated deposit routing(s) for your pay. Upon setup, the Payroll Office will deposit your net pay to the destinations that you choose. These destinations must be checking or savings accounts at institutions within the United States of America. Destination 1:  FORMCHECKBOX  New  FORMCHECKBOX  Termination  FORMCHECKBOX  Change  FORMCHECKBOX  Additional Bank Name:  FORMTEXT       Routing# :  FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT   : (also called Transit#, found on the bottom of the check, 9 digits) Account#  FORMTEXT       Account Type:  FORMCHECKBOX  Checking  FORMCHECKBOX  Savings Amount:  FORMCHECKBOX  All of net pay, or  FORMCHECKBOX  $  FORMTEXT       dollars per pay, or  FORMCHECKBOX  %  FORMTEXT       percent of pay(Optional) Destination 2:  FORMCHECKBOX  New  FORMCHECKBOX  Termination  FORMCHECKBOX  Change Bank Name:  FORMTEXT       Routing# :  FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT    FORMTEXT   : (also called Transit#, found on the bottom of the check, 9 digits) Account#  FORMTEXT       Account Type:  FORMCHECKBOX  Checking  FORMCHECKBOX  Savings Amount:  FORMCHECKBOX  Remaining net pay Which one account should be used by Accounts Payable? Destination 1:  FORMCHECKBOX  (either for reimbursements for travel and other business expenses, or the purchase of a personal product made or Destination 2:  FORMCHECKBOX  apart from the university, such as artwork, or payment for personal business performed apart from the university) I hereby authorize ɫAV University and the financial institution(s) listed above to initiate direct deposit (credit) entries and to initiate, if necessary, retraction (debit) entries for any credit entry error to my account. I understand that it is my responsibility to provide accurate and current banking information. I understand that in the event my financial institution(s) is/are not able to deposit any electronic transfer into my account due to any action I take, ɫAV University cannot re-issue any funds to me prior to receiving confirmation of a failed deposit by the financial institution(s). This authorization will remain in effect until the Payroll Office has received written authorizationvia this form "#$*FPvx   % ) E G ĵtit]Qhh\%>*CJaJhh}>*CJaJhh6CJaJhhR=CJaJhhCJaJhWY=CJaJhh}CJaJhrjh?nXUmHnHtHuhV"hhV"CJ,OJQJaJ,hV"CJ,OJQJaJ,hl8hV"CJ,OJQJaJ,hoChV"OJQJhV"OJQJjhUmHnHu !"$%&'()* ` j  C$$Ifgd N$$Ifgd  $Ifgd$a$gd)$a$gdr$a$gd$a$gdV"gd/mA     & ( D F H ^ x ³³y³g³U¨#j\hh?nXCJUaJ#jhh?nXCJUaJ#jthh?nXCJUaJhh#GCJaJ#jhh?nXCJUaJhh CJaJjhh?nXCJUaJhh25CJaJhh 5CJaJhh 5>*CJaJhh.]5>*CJaJhhdsCJaJx z |       & 󭥚zi⎚Ui⎚&jhh?nX>*CJUaJ jhhXn>*䴳&Dhh?nX>*CJUaJhhXn>*CJaJhhXnCJaJhXnCJaJhh CJaJ+jhh >*CJUaJmHnHu&jhh?nX>*CJUaJ jhh?nX>*CJUaJhh >*CJaJ & rv t8$IfgdB t8$Ifgd t8$Ifgd $IfgdR= C$$IfgdXn $$IfgdXn $($IfgdXn $$IfgdXn $$Ifgd & ( * , . 0 4 8 : N P R T V X \ ` b v x z | ~ ۾۾۾۾۾۾w۾۾c&jhh?nX>*䴳&hh?nX>*䴳&hh?nX>*䴳&hh?nX>*CJUaJhhXnCJaJhhXn>*CJaJ jhhXn>*CJUaJ jhh?nX>*䴳&,hh?nX>*CJUaJ&       $ & H \ l n v ҳҟǗvvvǗb&jXhh?nX>*CJUaJhhXn6CJaJh+=hXn6CJaJhXn6CJaJhXnCJaJ&jhh?nX>*䴳&phh?nX>*CJUaJhhXnCJaJhhXn>*CJaJ jhh?nX>*CJUaJ jhhXn>*CJUaJ&   6 8 : Z \ x z |  ·¨rg¨UMhBCJaJ#j(hh?nXCJUaJhh=eTCJaJ#jhh?nXCJUaJ#j@hh?nXCJUaJ#jhh?nXCJUaJjhh?nXCJUaJhhR=CJaJhh CJaJhhXn>*CJaJ+jhhXn>*CJUaJmHnHu jhh?nX>*CJUaJ.02<>DFJXZ\dhptvЦН{{lZl#j hh?nXCJUaJjhh?nXCJUaJhh=eTCJaJhhR=CJaJhhR=>*CJaJhB>*CJaJ+jhh >*CJUaJmHnHu&jhh?nX>*CJUaJ jhh?nX>*CJUaJhh >*CJaJhBCJaJhh CJaJ "ۿ۶}rfXfJ>3hh25CJaJhh255CJaJhh255>*CJaJhh.]56CJaJhh.]5CJaJhhCJaJhh=eTCJaJhhR=CJaJhh CJaJhhR=>*CJaJhBhB>*CJaJhB>*CJaJ7jhh >*CJOJQJU^JaJmHnHu jhh?nX>*䴳& hh?nX>*CJUaJVXx t8$Ifgd $IfgdR= 6$$Ifgd+= $$Ifgd $($IfgdXn $$Ifgd C$$Ifgd N$$Ifgd  $Ifgd "$@BDFLNPlnp厂q]qGq+jhhR=>*CJUaJmHnHu&jT hh?nX>*CJUaJ jhh?nX>*CJUaJhhR=>*CJaJhhR=CJaJhh?aCJaJ#j hh?nXCJUaJ#jl hh?nXCJUaJhh#GCJaJ#j hh?nXCJUaJhh25CJaJjhh?nXCJUaJ 468:<>BFH\^`bdfjnp󥹔󀹔l&j hh?nX>*䴳&< hh?nX>*CJUaJ jhhR=>*䴳& hh?nX>*CJUaJ jhh?nX>*CJUaJhhBjCJaJhhS-CJaJh+=CJaJhhR=CJaJhhR=>*CJaJ$ $&(*,.268LNP۾۾۾۾۾۾w۾۾c&jhh?nX>*䴳&hh?nX>*䴳& hh?nX>*䴳& hh?nX>*CJUaJhhR=CJaJhhR=>*CJaJ jhhR=>*CJUaJ jhh?nX>*䴳&$ hh?nX>*CJUaJ&PRTVZ^`tvxz|~$&(*,@BDҳǫtlX&jhh?nX>*CJUaJhXnCJaJhhS-CJaJhh+=CJaJhh+=6CJaJh+=h+=6CJaJhXn6CJaJhR=CJaJ&jhhh?nX>*CJUaJhhR=CJaJhhR=>*CJaJ jhh?nX>*CJUaJ jhhR=>*CJUaJDNPRvx 68>@FHJTV|qqf_TIhh?|XCJaJhha$dCJaJ hh hh CJaJhh=eTCJaJ#j8hh?nXCJUaJ#jhh?nXCJUaJ#jPhh?nXCJUaJjhh?nXCJUaJhhR=CJaJhhR=>*CJaJ jhh?nX>*CJUaJ+jhhR=>*CJUaJmHnHuFHJteTE <<$IfgdWY= <J<$Ifgdoh Jx$Ifgd {kd$$Ifs0' t064:4 sayt t8$IfgdV\!,5=>ABFcistδxpxph`UUhhEeCJaJhf(CJaJhK[CJaJh CJaJh)CJaJh)h)CJaJh)hf(CJaJh)hBCJaJhohCJaJh)hY1CJaJha$dCJaJ#j3hh?nXCJUaJjhh?nXCJUaJhh"OCJaJhha$dCJaJhh?|X>*CJaJ  %/mλƨ|p|aUapa|F|hh)6CJ\]aJh6CJ\]aJhh6CJ\]aJhWY=6CJ\]aJhh6CJ\]aJhh CJaJ hha$dh)hCJaJh CJaJh)hY1CJaJh)h)CJaJhWY=CJaJh)CJaJhY1CJaJjhh?nXCJUaJ#jhh?nXCJUaJ  AAJBLBBBBBBBB~r~ $gd7d' r'gd $da$gdhkd$$Ifs'8( t064:4 sayt from the employee of its termination or modification. The employee shall give notification in such time and mannertypically one full pay period in advanceas to afford Payroll and the bank/institution a reasonable opportunity to act upon the change or termination request. Employee Name:  FORMTEXT       ID#:  FORMTEXT       Employee Signature: Date:  FORMTEXT            FILENAME Direct Deposit Authorization Form.doc Rev. 8/25/2020 To reduce errors, please attach proof of your routing information. 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