Wisconsin Direct Deposit Form 3

University of Wisconsin Service Center
Human Resource System
Authorization for Direct Deposit of Payroll
The University of Wisconsin System distributes pay using an electronic direct deposit program.
Select One:
Biweekly Payroll (Classified/LTE/Student/Unclassified Hourly appointments)
Monthly Payroll (Faculty, Academic Staff, Teaching and Research Assistant appointments)
Effective Date:
As Soon As Possible
Future Pay Date: _______________
Employee Information | Please Print
mm/dd/yyyy
Name (Last, First, MI): _____________________________________________________
Phone Number: ______________________________________
Payroll Empl ID OR
Social Security Number (Last 4 Digits Only): ________________________
Email Address: __________________________________________________________________
Primary Account | This is where your entire paycheck or the balance is deposited after the % or $ amount is deducted from the second and third accounts listed below.
Select one:
Start
Change
Account Type
(Select one):
ABA Transit Routing Number:
Checking
Account Number: _______________________________________________________________
Savings
Name of Financial Institution: ______________________________________________________
NET PAY
Financial Institution City, State: ____________________________________________________
Second Account | Optional
Select one:
Start
Change
Cancel
Account Type
(Select one):
% OR $ OF NET
DISTRIBUTION
ABA Transit Routing Number:
Checking
Account Number: _______________________________________________________________
Savings
Name of Financial Institution: ______________________________________________________
%
or
$
Financial Institution City, State: ____________________________________________________
Third Account | Optional
Select one:
Start
Change
Cancel
Account Type
(Select one):
% OR $ OF NET
DISTRIBUTION
ABA Transit Routing Number:
Checking
Account Number: _______________________________________________________________
Savings
Name of Financial Institution: ______________________________________________________
Financial Institution City, State: ____________________________________________________
%
or
$
Check this box if the entire amount of your direct deposit is ultimately deposited to a financial institution outside of the United States.
Read statement carefully: I authorize the University of Wisconsin to direct deposit funds to my account in the financial institution listed above. If funds to which I am
not entitled are deposited in my account, I authorize the University to initiate a correcting (debit) entry. I understand that the authorization may be rejected or
discontinued by the University at any time. If any of the above information changes, I will promptly complete a new authorization agreement. If the direct deposit is not
stopped before closing an account, funds payable to you will be returned to the University for distribution. This will delay your check.
Employee Signature: _______________________________________________________________________ Date: ___________________________ (mm/dd/yyyy)
P1032.201012
Additional information is on the reverse side.
Direct Deposit of Payroll
As an employee of the University of Wisconsin System,
you are provided the convenience and security of having
your pay automatically deposited into your personal bank,
credit union or financial institution account.
Automatic deposit of your pay into the personal account of
your choice means you can:
• Eliminate trips or mailings to the bank or credit union
to cash or deposit paychecks.
• Be assured your pay will be deposited on payday
even when you are on vacation or out of town.*
• Eliminate the danger of lost, stolen or forged checks.
*While most financial institutions post funds to
accounts at the beginning of the bank business day,
this is not a universal practice. It is strongly
recommended that you check with your financial
institution to determine when you funds will be
available.
You may choose up to three (3) accounts, savings and/or
checking, to have your pay directly deposited as long as
the following conditions are met:
1.
2.
Your financial institution(s) is located in the US or
Puerto Rico and is a member of the Automated
Clearing House Association (ACHA); and
100% of your net pay is committed to direct
deposit.
Tips on Providing Checking Account Information
contact your money market advisor to get the necessary
information for a money market account.
financial institution. A paper check will then be issued.
This may delay your payment.
Common Questions about the Direct Deposit
Program:
Can I direct deposit my pay into more than one
financial institution account?
How do I know that a deposit has been made to my
account?
Yes. If you choose to direct deposit into two or more
accounts, you must designate one account as your
primary account and the others as a second and third
account. The second and third accounts will require either
a fixed amount or a percentage of net pay. Your pay will
be split into the multiple accounts with the fixed and or
percentage amounts deposited first and all remaining pay
deposited to the primary account (unless 100% of your
pay is deposited into the second and third accounts).
Your earnings statement will show how much you have
earned, a detail of your deductions, and how much has
been deposited to your account(s). Your financial
institution will show the deposit on your monthly
statement.
Where do I find my earnings statement?
Your earnings statement can be found via the My UW
System portal online at: http://my.wisconsin.edu.
(UW-Madison users should use My UW, located at:
http://my.wisc.edu).
When will direct deposit begin?
The first pay period after the Payroll Office receives your
direct deposit authorization form. Keep in mind that most
payrolls are processed up to one week prior to the actual
pay date. Please verify with your financial institution on
your pay date that your direct deposit has gone into effect.
When will my pay be deposited into my account?
Check Example:
Ι
Ι¦123456789 Ι¦
700012498 Ι
Routing Number
(Exactly 9 digits)
Account Number
1001
Your pay will be deposited into your account(s) on your
pay day. Funds will not be available prior to that date.
Check
Number
What do I do if I want to change financial
institutions or accounts once I am enrolled in the
program?
Do not include your check number, which appears to the
right of both your Routing number and your Checking
Account number. Your check number will match the
number printed at the upper right corner of your check.
Do not use the routing number at the bottom of a
deposit slip as this number may not be correct. It is
recommended that you check with your financial institution
to verify the routing number for direct deposit. Incorrect
routing and account information may cause a delay in
receiving your funds.
This layout applies only to personal checking accounts
and not to money market accounts. You will need to
If you change your financial institution or account, you
must complete a new authorization form as soon as
possible.
What will happen to my direct deposit if I cancel my
account with my financial institution but don’t
cancel my direct deposit with the University of
Wisconsin prior to the payroll being processed?
Your direct deposit will automatically be sent as though
the account(s) were open. All funds submitted to the
closed account will not become available until such funds
are returned to the University of Wisconsin System by the
Does it matter whether I designate my savings
account as my primary account?
No. You may direct deposit into a checking or a savings
account or multiple checking and/or savings accounts, up
to three accounts. The choice is up to you.
If I have been gone for a period of time (or
terminated employment) and return to work, do I
need to complete a new form? (This would include
leave of absence without pay, sabbatical leave,
etc.)
Possibly. Your direct deposit will remain active for up to
twelve months with no payroll activity. After that period of
time all direct deposits will be inactivated and new forms
will be required. Please note: If your financial institution
or account numbers have changed, it is imperative that
you submit a new direct deposit form.
Do I need to submit a new direct deposit form if I
am changing departments?
No, your existing authorization form will remain in force.