Eastern Carver County Schools - Direct Deposit Authorization Change Form
Direct Deposit Authorization Change Form
Organization:
Eastern Carver County Schools
Assigned To:
Public User
Show History
You will need your bank's Routing Number and Account Number to complete this form. Here is where to find that information on your check:
Account Information:
I hereby authorize Eastern Carver County Schools to initiate credit/debit and/or correction entries to my account(s) indicated below at the depository named below, herein called (DEPOSITORY).
Account 1
Account Type:
Checking Account
Savings Account
Account Type: required
Bank Name:
Bank Name: required
Routing / ABA Number:
Routing / ABA Number: required
Account Number:
Account Number: required
Amount to Deposit:
Net Pay
Other Amount (List Below)
Amount to Deposit: required
If "Other Amount" was selected, please list dollar amount:
Account 2 (optional)
Account Type:
Checking Account
Savings Account
Bank Name:
Routing / ABA Number:
Account Number:
Check Upload:
Please upload a copy of a
voided
check or a direct deposit authorization letter from your bank.
refresh
Drop files here to upload
Add a File
A file upload is required
Authorization:
This authorization is to remain in effect until Eastern Carver County Schools has received written notification from me of its termination in such time and in such manner as to afford Eastern Carver County Schools and DEPOSITORY reasonable opportunity to act upon it.
Last 4 of Your Social Security Number:
Last 4 of Your Social Security Number: required
Full Name (First Middle Last):
Full Name (First Middle Last): required
E-mail Address for Confirmation E-mail:
E-mail Address for Confirmation E-mail: required
Signature:
Signature is required
By typing in your name (your “eSignature”), you accept and consent to be legally bound by this document’s statements, terms and conditions as if this document was signed by you in writing with pen on paper. You agree that no third party or other means of verification is necessary to validate your eSignature and that the lack of such third party or other means of verification will not in any way affect the enforceability of this document.
Signing
Type your name and then select "Click to Digitally Sign"
Due to the cyber world’s persistent attempts at hacking employee direct deposit accounts, the district is requiring in person verification. For a secondary check prior to changing your banking information, you must come in person to the DEC with picture identification (driver’s license, passport, district ID badge). You may see anyone in Payroll or Human Resources.
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History
Step:
Current employee fills out the form
Sent To: Public User, On:
1/20/2025 2:08:10 PM Central Standard Time