DIRECT DEPOSIT EMPLOYEE AUTHORIZATION FORM YOUR

DIRECT DEPOSIT
EMPLOYEE AUTHORIZATION FORM
Name
Position
School
Home Phone #
Staple VOIDED Check Here
I authorize McFarland School District and the Financial Institution listed below to
initiate electronic credit entries, and if necessary, debit entries and adjustments for
any credit entries in error to each payday. This authority will remain in effect until
there is written documentation cancelling it.
Checking Account
Savings Account
YOUR FIRST CHECK WILL BE A PAPER CHECK FOR
YOU TO DEPOSIT
Financial Institution
Bank Routing Number/ABA
Account Number
Signature
Date
* Please note that if you are using a savings account, you should check with your financial
institution to verify the routing number. YOUR FIRST CHECK WILL BE A PAPER CHECK THAT
NEEDS TO BE DEPOSITED AT YOUR BANK
* If you do not have paper checks, please print off an acknowledgement of your account from your
bank's website.
HUMAN RESOURCES USE ONLY
Updated 3/14/2016
ACCOUNT INFORMATION
ENTERED BY:
DATE:
ACCOUNT INFORMATION
VERIFIED BY:
DATE: