SOUTH LYON COMMUNITY SCHOOLS
Authorization Agreement for Payroll Direct Deposit
To authorize your paycheck to be Direct Deposited into a financial institution, complete the bottom portion
of this form. Provide your payroll department with the account number and routing number. For a checking
account Direct Deposit, a copy of a VOIDED check is required. For a savings Direct Deposit, you need to
obtain these numbers from your financial institution and attach documentation. Be aware this may take 2 to
3 pay periods before the actual Direct Deposit will take effect. PLEASE RETURN THE COMPLETED
DOCUMENT TO THE PAYROLL OFFICE WITH THE REQUIRED DOCUMENTATION. Note:
If an overpayment or underpayment should occur South Lyon Community Schools reserves the right to make
an adjustment to the appropriate accounts. Please choose from the following:
There is a limit of 2 Active Direct Deposits at one time, per employee. One Financial Institution below has to
have the word “NET” for 100% net deposit in the amount.
NEW/CHANGE:
Financial Institution’s Name
____________________________________
Checking / Savings Account Number
(please circle one)
Routing Number
____________________________________
____________________________________
Amount to deduct (write the word “net” for 100% net deposit)
$______________
NEW/CHANGE:
Financial Institution’s Name
____________________________________
Checking / Savings Account Number
(please circle one)
Routing Number
____________________________________
____________________________________
Amount to deduct (write the word “net” for 100% net deposit)
$______________
Employee’s Name (printed) ____________________________________ Date _______________
Employee’s Signature
______________________________________
Employee ID
______________________________________