McKesson Employees' Federal Credit Union



AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT

EMPLOYEE EMPLOYEE ID/

NAME:______________________________________ SOC. SEC NUMBER:____________________

Print (Last, First, MI)

← Start depositing my net pay per paycheck as indicated below (this will inactivate all previous deposits if appropriate)

← Change my current direct deposit option as indicated below (only the account listed will be changed)

← Add to my current direct deposit option already in force as indicated below (all other accounts remain active)

← Cancel my direct deposit option listed below (others remain active)

← Cancel ALL direct deposit options

A. Primary Account: ( 100% of Net (or remainder after secondary account) or ( Fixed Amount $______________

DEPOSITORY

NAME: McKesson Employees’ Federal Credit Union BRANCH________________________

CITY_San Francisco___________________________ STATE____CA________ZIP_94104___

ROUTING NUMBER_____321076056___________ ACCOUNT NO.___________________

ACCOUNT TYPE: ( Checking ( Saving

B. Secondary Account: ( Fixed Amount $______________

DEPOSITORY

NAME: McKesson Employees’ Federal Credit Union BRANCH________________________

CITY__San Francisco _________________________ STATE___CA________ZIP__94104__

ROUTING NUMBER______321076056__________ ACCOUNT NO.___________________

ACCOUNT TYPE: ( Checking ( Saving

Payroll Department:

( McKesson Corporation

( DS Waters of North America

( Other

I hereby authorize my payroll department to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries in error to my account or accounts listed below.

This authority is to remain in full force until my payroll department has received written notification from me of its termination in such timely manner to afford my payroll department and McKesson Employees’ Federal Credit Union a reasonable opportunity to act on it.

_______________________________________ _________________________ Employee's Signature Date

• It may take up to 30 days for Payroll to process a Direct Deposit Authorization.

• Return form to: McKesson Employees’ Federal Credit Union

• All Direct Deposit must be canceled prior to closing Credit Union account

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One Post Street, Suite 1825, San Francisco, CA 94104-5243 [pic][?]-¥½¿rst‹Œ™¡ÀÂÄÅÆÇÕä÷

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τ Tel: (415) 983-8920 or (800) 528-4301 τ Fax: (415) 983-8850



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