Direct Deposit Authorization

Financial Service Department
Payroll Office – Box 2458
DIRECT DEPOSIT AUTHORIZATION FORM
I authorize Gettysburg College and the financial institution(s) listed below to initiate credit entries and, if
necessary, debit entries for any credit entries made in error to the account(s) listed below.
PART I: EMPLOYEE INFORMATION
Student/Employee ID #: _____________
Employee Name: ___________________________________
_________ Fac/Admin
_________ Support Staff
_________ Gettysburg College Student
Action To Be Taken:
_____ Start Direct Deposit
_____ Change Existing Direct Deposit
_____ Stop Direct Deposit
(Please list all accounts you are
requesting monies deposited into)
PART II: BANK INFORMATION
BANK NAME
ROUTING #
SAVING
OR
CHECKING
ACCOUNT #
AMOUNT
OF
DEPOSIT
|: __ __ __ __ __ __ __ __ __ |:
|: __ __ __ __ __ __ __ __ __ |:
|: __ __ __ __ __ __ __ __ __ |:
|: __ __ __ __ __ __ __ __ __ |:
PNC Bank offers a complete set of money management tools and special benefits to Gettysburg College faculty, staff, and students to
help you achieve all of your financial goals. To start enjoying the many benefits of a PNC WorkPlace Banking or a Student Banking
account, enroll online now.
Employees can visit www.pnc.com/gettysburg/employee and students can visit www.pnc.com/gettysburg. You may also call the PNC
West Street office at 717-334-6552 to learn more and mention that you attend or work at Gettysburg College.
If you are depositing into a checking account, please provide a voided check.
If you are depositing into a savings account, please provide documentation from your financial institution that includes the
routing/transit number and account number.
Please allow at least one pay period for direct deposit to go into effect. If you do not receive a direct deposit advice via campus mail
on payday, you can pick up your check in the Payroll Office.
This authority is to remain in effect until Gettysburg College has received written notification from me of its termination in such time
and such manner as to afford Gettysburg College a reasonable opportunity to act on it.
Employee Signature: ___________________________________ Date: _________________________