Payroll Deduction/Direct Deposit Authorization
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Employer Payroll Deduction Authorization
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By submitting this form, I hereby authorize my Employer to deduct from my salary the amounts set forth below and to deposit these funds in the Credit Union for each payroll period following receipt of the Authorization until further notice from me. If this is a change in a previous Authorization, I instruct my Employer to cancel my previous Authorization and to follow this Authorization. If I fail to cancel this Authorization upon filing for bankruptcy, my Employer and the Credit Union are directed to make and apply deductions in accordance with this Authorization. |
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Credit Union R/T No. 291378130 |
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Credit Union Direct Deposit Authorization
I authorize the Credit Union to apply my payroll deduction for each pay period as follows:
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