Unformatted text preview: [ ] Cancel Bank Name ________________________________________ City _____________________________ State __________________ Zip _________ Checking : I wish to deposit (check one) [ ] $_______.00 [ ] _______%Net [ ] Entire Pay Savings : I wish to deposit (check one) [ ] $_______.00 [ ] _______%Net [ ] Entire Pay Please submit a void check, Bank Letter or Specification Sheet in order to verify the bank a/c numbers and routing #. This authorization is to remain in full force and effect until COMPANY and BANK have received written notice from me and its determination in such a matter as to afford COMPANY and BANK a reasonable opportunity to act on it. Employee Signature _______________________ Date ______/______/______...
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- Spring '97
- Cheque, payroll processor, EMPLOYEE DIRECT DEPOSIT