Electronic payments are secure, fast, and the best way to pay your bursar account balances. Verify
this information and return to our office in Poplars Building, Room W100: we will help you learn how
to successfully complete e-payments, create a payment profile (if desired) and understand basic US
banking procedures.
Please take this form to your US financial institution (bank/credit union). Request that your
bank/credit union help you complete and confirm the correct information to use in making electronic
payments from your account.
Enter the following information:
Name of your US financial institution:
9-digit routing number of your US financial institution:
Your US bank account number:
** exact number used for electronic payments
US Bank account type (choose ONLY one):
checking?
savings?
Is this account eligible for use in making web/electronic payments?
If no, work with the bank to determine a different account option.
If you use a savings account, will those funds automatically transfer to checking to cover any
overpayments?
Yes
No
How many days are your funds held by the bank if you make a large deposit? (Funds will not
be available to use for making any payments until the hold has lifted.)
Poplars Building
400 East 7th Street Bloomington, IN 47405-3085 bursar@indiana.edu
http://bursar.indiana.edu