Get Usps Direct Deposit Form

DIRECT DEPOSIT SET-UP FORM For USPS Employee Allotments Complete Employee Information Section. Take original to the Finance Office. Send copy with the application* EMPLOYEE INFORMATION Employee Name Last First middle initial C Start Allotment h C Change Allotment Employee Address Employee Payroll ID Social SecurityNumber P B S Type of Depositor Account Checking Employee Certification I certify that I am entitled to the payment identified above and that I have read and understand this form* In signing this form I authorize my payment to be sent to the financial institution named below to be deposited to the designated account. If an incorrect deposit should be made into my account I authorize the bank s to make the appropriate adjustments. Employee Telephone Number Postal Employee Only Financial Number Employee Signature X FINANCIAL ORGANIZATION INFORMATION Comerica Bank Grand Rapids MI 49546 / To Depositor s Account Number Government Agency/Postal Installation Address From Biweekly Allotment Amount even dollar amount Name and Address of Financial Institution 1st Deductible Date Date Routing Number Check Digits CERTIFICATION I confirm the identity of the above named payee and the account number. As representative of the above financial institution I certify that the financial institution agrees to receive and deposit the payment identified above in accordance with 31 CFR Parts 240 209 and/or 210. All transactions are governed by NACHA rules and regulations Print or Type Representative s Name Signature of Representative Embry Jacobs Telephone Number 616 285-2480 01/01/2009 PRIVACY ACT STATEMENT The collection of the information you are requested to provide on this form is authorized under 31 CFR 209 and/or 210. The information is confidential and is needed to prove entitlement to payments. The information will be used to process payment date from the Federal agency to the financial institution and/or its agent. Please return completed forms to PROFESSIONAL BENEFITS SERVICES 2959 Lucerne SE Ste 205 Print Form. Send copy with the application* EMPLOYEE INFORMATION Employee Name Last First middle initial C Start Allotment h C Change Allotment Employee Address Employee Payroll ID Social SecurityNumber P B S Type of Depositor Account Checking Employee Certification I certify that I am entitled to the payment identified above and that I have read and understand this form* In signing this form I authorize my payment to be sent to the financial institution named below to be deposited to the designated account. If an incorrect deposit should be made into my account I authorize the bank s to make the appropriate adjustments. If an incorrect deposit should be made into my account I authorize the bank s to make the appropriate adjustments. Employee Telephone Number Postal Employee Only Financial Number Employee Signature X FINANCIAL ORGANIZATION INFORMATION Comerica Bank Grand Rapids MI 49546 / To Depositor s Account Number Government Agency/Postal Installation Address From Biweekly Allotment Amount even dollar amount Name and Address of Financial Institution 1st Deductible Date Date Routing Number Check Digits CERTIFICATION I confirm the identity of the above named payee and the account number.