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Get Pay Disposition Form - UC Davis Health System - The University Of ... - Ucdmc Ucdavis 2002-2024

Ct One of the Following Options: SUREPAY DIRECT DEPOSIT I choose to have my pay directly deposited to my account at the financial institution indicated below: Financial Institution Name: Check One: Branch Name: Checking Account Account No.: Address: OR City: State: Zip: With the selection of SUREPAY, I authorize the University of California, Davis to initiate credits and/or debits to my account. Debits shall be initiated only to effect appropriate adjustments against a prior credit made.

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