Payroll Direct Deposit.pmd - Baltimore City Public Schools
Baltimore City Public Schools
Payroll Office
200 East North Avenue, Room 114
Baltimore, Maryland 21202
Phone: 410.984.2000 Fax: 410.625.0321
PAYROLL DIRECT DEPOSIT
Employee Name ___________________________________________________________________________________________________________________
Last, First, Middle – PLEASE PRINT CLEARLY
Employee ID # ___________________________________________________________________________________________________________________
Address ___________________________________________________________________________________________________________________________
Street
____________________________________________________________________________________________________________________________
City State Zip
Important: Failure to attach the required documents will result in the non-processing of your direct deposit request.
SELECT ONE OF THE FOLLOWING
[ ] Checking (Attach voided check) (Handwritten documents will not be processed.)
[ ] Savings (Attach any document showing your bank name, account # and routing #) (Handwritten documents will not be processed.)
[ ] Discontinue Direct Deposit
Note: All new direct deposit accounts take two pay periods once received by the Payroll Department. After receipt by Payroll, the first pay day is paid by a paper check mailed to your house address on record.
Note: 100% of your net pay will be deposited into the account designated above.
I hereby authorize Baltimore City Public Schools and the attached financial institution approval to initiate electronic credit entries, and if necessary, debit entries and adjustments for any credit entries in error to my account.
Signature ______________________________________________________________________ Date ___________________________________________
PAYROLL USE ONLY
[pic]
P0152, Payroll Direct Deposit, 12-15-17
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