The University of Montana Missoula, MT 59812 Phone: 406-243-5372 FTS: 406-329-3128

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The University of Montana
Missoula, MT 59812
Phone: 406-243-5372
FTS: 406-329-3128
FAX: 406-243-6064
[email protected]
www.umt.edu/MCWRU
Check Authorization – Mail Out Request
I, ___________________________________, hereby authorize the Human Resources Services Office to
mail my payroll check(s) for the period(s) of ______________________________ to the following
address:
___________________________________________
___________________________________________
I get paid Bi-weekly.
___________________________________
Print Name
___________________________________ Date_____________________
Signature
Social Security # _____________________
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