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CITY OF HOOVER DIRECT DEPOSIT ENROLLMENT/CHANGE FORM Directions: To enroll for direct deposit, read instructions and complete the information in Section1 and sign the form. Please be sure to include your account number, account type, as well as the Bank ID/routing number. Return the form to Human Resources. Please note that it takes two pay periods from the time of initiation for the direct deposit to occur. All direct deposits are entered as a Pre-Note to make sure there will be no problems. On your first pay day, you will receive an actual check. If no problems are encountered with the pre-note, your checks will be automatically deposited thereafter. SECTION 1 (To be completed by employee) PLEASE PRINT Last Name First Name Middle Initial Address City State Zip Code Telephone # Personal Telephone Last 4 digits of SECTION 2 Primary Account – If you are depositing to more than one account, any excess funds will go to the primary account. Name of Financial Institutions: Type of Account: (select one) Checking Savings Amount/Percentage to be deposited:__________ Account Bank ID/Routing Number: Additional Account Name of Financial Institutions: Type of Account: (select one) Checking Savings Amount/Percentage to be deposited:__________ Account Bank ID/Routing Number: Additional Account Name of Financial Institutions: Type of Account: (select one) Checking Savings Amount/Percentage to be deposited:__________ Account Bank ID/Routing Number: Attach Voided Check HERE SECTION 3 By signing this form, I authorize my salary payment be sent to my financial institution(s) named above and be deposited in the designated account(s). This authorization is to remain in full force and effect until the City of Hoover has received written notification from me of its termination. PLEASE ATTACH A VOIDED CHECK ABOVE. THIS IS REQUIRED FOR PROCESSING YOUR DIRECT DEPOSIT REQUEST. Employee