DIRECT DEPOSIT AUTHORIZATION FORM

DIRECT DEPOSIT AUTHORIZATION FORM
How Direct Deposit Works:
Complete and mail to Office of Student Accounts, 104 Old Main, 1 Morrow Way, Slippery Rock, PA 16057
or fax to: 724.738.4344.
**Direct Deposit Authorization forms can now be reviewed, updated and newly submitted in the MySRU Portal.
Choose the Student Self-Service tab and the MyAccount section.
Slippery Rock University offers direct deposit for refunds from financial aid. SRU will apply what is owed to your
student account, and any refund may then be deposited into an account of your choice with exception of parent plus refunds.
It’s convenient – saves you a trip to the bank
It’s faster – otherwise refunds will be mailed to your permanent home address
It’s safer – direct deposit eliminates the worry of a lost or stolen check

It’s confidential – funds are automatically processed with refund deposited
into your checking or savings account.
Name__________________________________________________ Student ID # __________________________
LastFirstM. I.
I hereby authorize SRU to (circle one) START / CHANGE / STOP direct deposit of my financial aid refund.
(You may designate any bank, savings and loan association, or credit union in the U.S. that (1) is a
member of the Federal Reserve System, and (2) accepts electronic funds transfer. My authorization
will remain in effect until revoked by me in writing or I am no longer a student at Slippery Rock University.)
Financial Institution’s Name ______________________________________________________
Transit Routing Number _________________________________________________________
Account Number ______________________________________________________________
Type of Account (circle one) Checking/Savings (If checking, please attach a voided check)
I have an established account at the financial institution indicated above, and authorize SRU to deposit
Financial Aid Refunds into the accounts indicated above. I have provided a copy of a voided check
solely for the purpose of verifying my account number and the financial institution’s routing number.
Signature ___________________________________________ Date _______________
Co-signature (If joint account) _______________________________________________
If you have completed a form in the past, you don’t need to complete a new form unless there is a
change in your bank account information.
Office of Student Accounts • 724.738.2088
Slippery Rock University of Pennsylvania, 104 Old Main , 1 Morrow Way, Slippery Rock, Pa. 16057
#9183 7-2015