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

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P0152, Payroll Direct Deposit, 12-15-17

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