Payroll Direct Deposit Form

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EUREKA COLLEGE
300 E. COLLEGE AVE.
EUREKA, IL 61530
Direct Deposit of Payroll Authorization
I Authorize Eureka College to deposit my payroll directly into my deposit account as follows:
(EXAMPLE: Checking #123-456 100% OR Checking #123-456 50% & Savings # 123-45 50%
OR Savings #123-45 $100.00 & Checking #123-456 remainder)
Checking Account # ____________________ % or amount _____________
Savings Account # _____________________ % or amount_____________
Financial Institution Information is as follows:
Bank Name _________________________________________
Bank Routing Number ________________________________
I understand that it is my responsibility to notify the Eureka College Business Office if my
deposit account information changes at any time. If I fail to notify them of any changes, I
am in danger of having my payroll deposit delayed by several days until my new
information is discovered.
Signed _______________________________________
Name ________________________________________
(Please print)
A voided check must be provided with this agreement
Benefits of Direct Deposit:
 No need to worry about picking up your payroll check if you are ill or on vacation
 No worry about the possibility of a lost payroll check
 No more rushing to the bank to make your deposit on payday, it’s already there!
 You may qualify for a free checking account (check with your bank!)
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