ࡱ> CEB &bjbjdd 4.d 8K<$ .000000 g#|0E...04uNNN.F.N..NNN0SA,tjN0N##N#N0"N1M00V....# : HOOD COLLEGE STUDENT PAYROLL Payment Authorization Complete the authorization below to setup a NEW Direct Deposit; if you have signed up in the past you do not need to send this to Payroll unless your banking information has changed. Please note that the account(s) you use for direct deposit must be YOUR individual or Joint account(s) up to a maximum of 2 accounts. Attach a voided check if you have one, if you dont use checks for your account, verify with your bank the routing number for direct deposits and double check your account number. Its NOT the number on your DEBIT card! Employee Name: ________________________________________ Last 4 of SSN: XXX-XX- _______ Address: ____________________________________________________Campus Mail Box:________ PRIMARY Bank Name of Financial Institution _____________________________________________________________ Address (City/State) (if you know it) ______________________________________________________ Transit/Routing Number (9 digits) ________________________________________________________ Account Number: _________________________________________ NOT the number on a DEBIT card! Type: Checking Savings Other Amount: All OR Flat Amount $__________________ SECONDARY Bank (if applicable) Name of Financial Institution _____________________________________________________________ Address (City/State) __________________________________________________________________ Transit/Routing Number (9 digits) ________________________________________________________ Account Number ______________________________________________________________________ Type: Checking Savings Other Amount: All OR Balance $__________________ I authorize Hood College to initiate automatic deposits and adjustments (in the event of an error) to my account(s) at the financial institution(s) designated  %46PUaeflmstuwƼtbPbPbtBttthCCJOJPJQJaJ#h rhzG5CJOJPJQJaJ#h rhs=5CJOJPJQJaJhs=CJOJPJQJaJhzGCJOJPJQJaJh!CJOJPJQJaJ h&h" CJOJPJQJaJh&h" OJPJQJh OJPJQJhs=hs=5OJPJQJhs=h 5OJPJQJh@8A5OJPJQJ#h" h" 5CJ$OJPJQJaJ$ 45S T    o p \ ^  &$d%d&d'dNOPQgd" gd" $a$gd"    % E h i r u | }  ' ( ) . 1 @ ᦕxjxj\jJJ#hs=hC"5CJOJPJQJaJh,CJOJPJQJaJhC"CJOJPJQJaJhR^CJOJPJQJaJhs=5CJOJPJQJaJ hs=hC"CJOJPJQJaJ hs=hs=CJOJPJQJaJh@8ACJOJPJQJaJh rCJOJPJQJaJhzGCJOJPJQJaJhs=CJOJPJQJaJ h&hs=CJOJPJQJaJ@ J P R S T a b   ʼʋ}oaSooE}ʋh.CJOJPJQJaJh" CJOJPJQJaJhQ&CJOJPJQJaJh@8ACJOJPJQJaJh rCJOJPJQJaJh!CJOJPJQJaJ#h rh" 5CJOJPJQJaJ h&h!CJOJPJQJaJhC"CJOJPJQJaJ h&h" CJOJPJQJaJ#hs=hC"5CJOJPJQJaJ#hs=h_5CJOJPJQJaJ    . 0 2 7 C K e f " 2 F H z    . F ŹŭŭŭŹŭŹŭŭŹŹş}o`ŭh&h rCJOJQJaJh" CJOJPJQJaJ h&h rCJOJPJQJaJ h rh rCJOJPJQJaJh rCJOJPJQJaJh" CJOJQJaJh rCJOJQJaJh&h" CJOJQJaJh r5CJ OJQJaJ h&h" 5CJ OJQJaJ h`{h" CJOJQJaJ%F V ^ /02WX^egh~ovw&6>JZvz~¶¶¶¶¶h rCJOJQJaJh" h" CJOJQJaJh" CJOJQJaJh`{h" CJOJQJaJh" CJaJh rCJOJQJaJh" CJOJQJaJh&h" CJOJQJaJ: ij !wx $x$y$z$$$$$$ ;$If^;gd@8Agd$lgd" gd $a$gd &$d%d&d'dNOPQgd" $$ $w$x$y$z$$$$$$$$$$%κzzrjbSD8h@8ACJOJQJaJhzGh@8ACJOJQJaJhzGh@8ACJOJQJaJh@8AOJQJhCOJQJhnOJQJh OJQJh&h OJQJh CJOJQJaJhs=hs=5CJOJQJaJ h 56CJOJPJQJaJ&hs=h 56CJOJPJQJaJ#hzGhs=6CJOJPJQJaJU#hzGh 6CJOJPJQJaJhs=6OJPJQJabove. This authority is to remain in effect until 91Ƶר College has received written notification of its termination. Signature_____________________________________ Date________________ Live Check Discloser: If you do not complete form & return it to Payroll, your pay will be disbursed via a LIVE CHECK. A fee of $35.00 will be charged for ANY check replacements. Signing up for Direct Deposit will save you time and possibly money.  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O07!4|$i,:.=?56;s=@8A3%X#)Y0ZR^ rAw]y.Q&C"or2x|' _lg-C~Xe$l,n?cCzG`{gd f @@xx~ p@p p@ppH@Unknown G*Ax Times New Roman5Symbol3. *Cx ArialY CG TimesTimes New Roman;|i0Batang9"CG OmegaU. Franklin Gothic Medium;. Tw Cen MT7Bell MTABook Antiqua5. .[`)TahomaA$BCambria Math"hc(GK1s(~ff!24` ` 3QHX ?l2! xx HOOD COLLEGEInformation TechnologyconklinOh+'0  4 @ L Xdlt|HOOD COLLEGEInformation TechnologyNormalconklin7Microsoft Office Word@t@ @:R@BA,f՜.+,0 hp  91Ƶר College`   HOOD COLLEGE Title !"#$%&'()*+,-./013456789;<=>?@ADRoot Entry FSA,FData 1Table #WordDocument4.SummaryInformation(2DocumentSummaryInformation8:CompObjy  F'Microsoft Office Word 97-2003 Document MSWordDocWord.Document.89q