Princeton University / Payroll

Direct Deposit Authorization Form
For Deposit To Princeton Credit Union

This application is for Princeton University Employees only and it is only for those electing to
have their net pay deposited or terminate their existing net pay deposit.

Please print this form, fill out, sign and bring, fax or mail to the credit union. A signature is required.

Instructions:
  1. Fill in all information, recording the transit routing number, account number and whether deposit to a checking or savings account is being requested.
  2. Have the Credit Union Representative sign below.
  3. Sign and return the form to Payroll Office 5 New South. If a joint account then signature of joint account holder(all individuals able to draw on account) is also required.
 
Important Reminders:
  1. Deposits are credited to your account on the date that the salary payments are due (payday).
  2. All new or changed direct deposit requests will be effective on the second payroll date following receipt of the request (in the interim a check will be produced).
  3. Timely requests to terminate a direct deposit will be effective on the first payroll date following receipt of this form.
  4. Failure to notify the Payroll Office in a timely manner of changed or closed accounts may substantially delay the receipt of payments if funds are deposited into closed accounts.

 

Employee/Student ID Number:____________________________ Univ. ext:___________________
Email Address:___________________________________________ Check University Status
c Monthly employee
c Bi-Weekly employee
c Casual Hourly employee
c Graduate Student
c Undergraduate Student
Name:__________________________________________________
Check One: c New Direct Deposit election
c Change financial institution and/or account number
c Terminate existing Direct Deposit election (no new election)
Account Information
Transit Routing Number
2 3 1 2 7 8 2 2 9
(9 digits) 		Account Type
Checking c    Savings c
Account Number
                                 
(max 17 digits)

 

Signature(s) Required

I/We hereby request that, until further notice is filed with Princeton University, 100% of my net pay be deposited into my account as designated above.

To correct any overpayments made to my account by Princeton University in error, I/we hereby authorize Princeton University to direct the bank designated herein to debit my/our account for the amount of the overpayment. It is understood that Princeton University will notify me/us when this situation occurs.

 

X ________________________________

 __________ X ________________________________ __________

   Employee's/Student's Signature

 Date     Joint Account Holder's Signature Date

______________________________________________________________________________
 CREDIT UNION VERIFICATION

X ___________________________________

 __________

 Authorized Signature

 Date