ࡱ> ,.+[ Cbjbj  4pa!\pa!\CV$NbEEEEEEE~5@NE&0VEf:fEfE|E :Vf> Z: DIRECT DEPOSIT SIGN-UP FORM (Required For Payroll Processing) In order to receive pay from ϳԹ an employee must be set up for direct deposit by providing bank account information for that purpose. If you need assistance with that process, please feel free to contact any bank in the area. Please provide the following information: NAME:__________________________________ LAST 4 DIGITS OF SOCIAL SECURITY NO.:________________ DATE:___________________________________ PRIMARY DIRECT DEPOSIT: NEW___ CHANGE___ (check one) Bank name: _________________________ / routing # __________________________ Account # _________________________ CHECKING _______ or SAVINGS ______ ** SECONDARY DIRECT DEPOSIT NEW____CHANGE___(check one) Bank name: _________________________/ routing# ____________________________ Account # __________________________ CHECKING _____ or SAVINGS ________ Amount : $___________________ Employees Authorization Signature Please attach a deposit slip or voided check to this form in order for us to verify your account information. If you have questions you may contact: Julie Herring or JoBeth Faile. Please return this form to Payroll at the Central Office. Payroll may run a test run if there is a question about the information provided. In that case, you will receive a check that needs to be cashed or deposited. We will notify you if you are receiving a check instead of direct deposit. >?`. / 0 Y Z [ \  % ` a 7 8 9 g r s  / 0 d e f g m ~wp hoxihU;G hs"PhU;GhU;Gh?ehGh^v hoxih( hoxih?e hoxih! hoxihs"Phs"PCJ aJ hoxihrTh[(hrThoxi hoxihoxihoxi>*CJ aJ h[(>*CJ aJ hs"P>*CJ aJ hoxihoxi>*CJ aJ hoxihs"P>*CJ aJ ,>?Z [ \ & U V 8 9 t u gds"P  gdGgdoxi$a$gdoxi   0 1 2 3 B e f g V W CgdU;G gdU;G     ) + . 4 > F T V W ^ f g q  Ch^vhrTh-9h!h0Qh?eh/AhFhbh@hG21h:p^v/ =!"#$% s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRiR  Table Normal4 l4a (k (No List PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. J;̊iN $AI)t2 Lmx:(}\-i*xQCJuWl'QyI@ھ m2DBAR4 w¢naQ`ԲɁ W=0#xBdT/.3-F>bYL%׭˓KK 6HhfPQ=h)GBms]_Ԡ'CZѨys v@c])h7Jهic?FS.NP$ e&\Ӏ+I "'%QÕ@c![paAV.9Hd<ӮHVX*%A{Yr Aբ pxSL9":3U5U NC(p%u@;[d`4)]t#9M4W=P5*f̰lk<_X-C wT%Ժ}B% Y,] A̠&oʰŨ; \lc`|,bUvPK! ѐ'theme/theme/_rels/themeManager.xml.relsM 0wooӺ&݈Э5 6?$Q ,.aic21h:qm@RN;d`o7gK(M&$R(.1r'JЊT8V"AȻHu}|$b{P8g/]QAsم(#L[PK-![Content_Types].xmlPK-!֧6 0_rels/.relsPK-!kytheme/theme/themeManager.xmlPK-!R%theme/theme/theme1.xmlPK-! ѐ' theme/theme/_rels/themeManager.xml.relsPK] C C  C 8@0(  B S  ? EBE >FBE >FBE}  [(f4-9FGU;Gs"P0QrT?eoxiW6v( up /A^v@bPc!CE@C@UnknownG.[x Times New Roman5Symbol3. .[x ArialA$BCambria Math"qh''&FT T hh24@@3HP ?s"P0!xx DIRECT DEPOSITRH3 Cathy NaderOh+'0  8 D P \hpxDIRECT DEPOSITRH3Normal Cathy Nader2Microsoft Office Word@F#@d9+_@ Ѐ@N@ Ѐ@NT՜.+,0  hp|    @ : DIRECT DEPOSIT Title  !"$%&'()*-Root Entry F6@N/1Table fWordDocument4SummaryInformation(DocumentSummaryInformation8#CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q