Direct Deposit Enrollment from Forrest County School District

Direct Deposit Enrollment

Organization: Forrest County School District

Assigned To: Public User

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Direct Deposit Authorization



Primary Account Information:

Account Type:	Checking Account Savings Account Account Type: required

Is this a new account or a change for an existing account?	New Account Change to Existing Account

I hereby authorize Forrest County School District to initiate credit/debit and/or correction entries to my account indicated below at the depository named below, herein called (DEPOSITORY), to credit the same such account.

Bank Name:	Bank Name: required

Routing / ABA Number:	Routing / ABA Number: required

Account Number:	Account Number: required

Percentage or Amount to be deposited into this Account:



Secondary Account Information:

Account Type:	Savings Account Checking Account

Bank Name:

Routing / ABA Number:

Account Number:

Percentage or Amount to be deposited into this Account:

Other Account Information:

Account Type:	Checking Savings

Bank Name:

Routing / ABA Number:

Account Number:

Percentage or Amount to be deposited into this Account:



How to find your Routing Number and Account Number:



Please note that SUM of the Percentage amounts for both accounts must equal 100. (If only 1 account (Primary Account) is selected, the Percentage is automatically 100%.)



I understand that supporting documentation will be required in order for this form to be processed. e.i. voided check or bank printout.	Yes

Authorization:

This authorization is to remain in full force until the Forrest County School District has received written notification from me of its termination in such time and in such manner as to afford the Forrest County School District and DEPOSITORY reasonable opportunity to act upon it.

Social Security Number: (no dashes)

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

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History

Step: Someone fills out the form
Sent To: Public User, On: 4/3/2025 5:27:37 PM Central Standard Time

Forrest County School District - Direct Deposit Enrollment