SOUTH PLAINS COLLEGE
REQUEST FOR PAYROLL DIRECT DEPOSIT
I hereby authorize South Plains College to directly deposit ALL wage compensation due in the
bank account indicated below. I accept total responsibility for the accuracy and completeness
of all information. I know that in the event I change my bank information, I will notify the
Payroll Office. If the Payroll Office is not notified, this will delay my deposit by several days.
For verification purpose, I am attaching a VOIDED CHECK from my account.
Please print or type the following information.
NAME ________________________________________________DATE_________________
SOCIAL SECURITY NUMBER _________________________________
BANK NAME________________________________________________________________
BANK ROUTING NUMBER ___________________________________________________
BANK ACCOUNT NUMBER___________________________________________________
SIGNATURE_________________________________________________________________
ATTACH VOIDED CHECK HERE
IF THIS IS A SAVINGS ACCOUNT AND NOT A
CHECKING ACCOUNT, PLEASE SIGN HERE____________________________________
**I AUTHORIZE TO STOP
DIRECT DEPOSIT AS OF_____________________________**