SCHOOL DISTRICT OF PHILADELPHIA
SCHOOL DISTRICT OF PHILADELPHIA
PAYROLL DEPARTMENT
AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT
| |
|( ) NEW ACCOUNT – YOUR PAYCHECK WILL BE MAILED TO YOUR HOME UNTIL DIRECT DEPOSIT TAKES EFFECT. |
| |
|( ) CHANGE – IF YOU MAKE A CHANGE TO YOUR DIRECT DEPOSIT, YOU WILL RECEIVE A LIVE CHECK UNTIL THE CHANGE TAKES EFFECT. If current|
|account has been closed, please notify Payroll immediately. |
NAME
SOCIAL SECURITY NUMBER EMPLOYEE ID
NAME OF FINANCIAL INSTITUTION
CHECKING ( ) SAVINGS ( )
TYPE OF ACCOUNT (check one)
ATTACH A VOIDED CHECK OR DOCUMENT THAT VERIFIES YOUR TRANSIT ROUTING AND ACCOUNT NUMBER
| | |
| | |
|TRANSIT ROUTING NUMBER |ACCOUNT NUMBER |
|(Nine-digit number in lower left corner of check) | |
|(If savings account, verify this number with bank) | |
I hereby authorize THE SCHOOL DISTRICT OF PHILADELPHIA to credit my account at the financial institution indicated above. In the event that my account is credited with an erroneous payment, I authorize the reversal of the erroneous payment, or the recovery of the erroneous payment from any funds remaining in my account, or the recovery of the erroneous payment from future compensation.
___________________________________________________ ___________________________
SIGNATURE DATE
Payroll Fax # 215 400 4491
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- school district
- school district 18 celebrates safe schools week
- district organization manual appendix e district
- school district of philadelphia
- attendance requirements for minors to maintain
- title i private school services frequently asked
- school district career technology
- user agreement for district issued credit
Related searches
- school district of philadelphia careers
- school district of philadelphia email
- school district of philadelphia pa
- school district of philadelphia employment
- school district of philadelphia application
- school district of philadelphia affidavit
- school district of philadelphia calendar
- school dist of philadelphia zimbra
- school board of philadelphia employment
- school district of philadelphia tax codes
- school district of philadelphia portal
- school district of philadelphia jobs