Home Financial Tools Forms Direct Deposit Form DIRECT DEPOSIT FORMEmployee Payroll Deduction Authorization Member Name * Required First Last Member Number * Required SSN/TIN * Required Employer * Required Payroll Number * Required Home Phone * RequiredWork Phone * RequiredAuthorization * Required Initial Authorization Change in Authorization I hereby authorize my employer to deduct from my salary the amounts set forth in this Authorization and to deposit these funds at the Credit Union for each payroll period following receipt of this Authorization until further notice from me. I understand that this Authorization is revocable. If this a change in a previous Authorization, I instruct my employer to cancel my previous Authorization and to follow this Authorization. If I fail to cancel this Authorization upon filing for bankruptcy, my employer and the Credit Union are directed to make and apply deductions in accordance with this Authorization. I grant the Credit Union a power of attorney to increase or decrease the amount of my deduction upon my written or verbal request. This power of attorney only applies to a loan or credit extension for which the payment may vary. I authorize my employer to honor any payment change made under this power of attorney. Deposit Amount * Required Net Check Payroll Period * Required Weekly Biweekly Monthly Semi-Monthly Credit Union R/T Number * Required Deposit To: * Required Savings Account Checking Account Savings Account Number * Required Checking Account Number * Required Signature * RequiredEffective Date * Required MM slash DD slash YYYY Δ Account Login Login ID Password Forgot Password? | New Users? Login ID Password Forgot Password? | New Users? Apply for a LoanQuick LinksAbout Us Become a Member Hours & Holiday Closures Calculators Rates & Fees Refer Family & Friends Account Disclosures Get Up to $500 Cash BackLearn MoreYour future starts now.Open a savings account with us today. Open An Account
