Do not include a check serial number as part of your account number. Earnings Statement - Indicate if you want an Earnings Statement. It will serve as your check stub, and will be sent through campus mail in a confidential mailer. Specify one employing department OR your On-campus Housing Unit. For all other SIU employees, the earnings Statement is sent to your current campus address.
Form is VOID without required document.
Signature of Payee - Sign the form to authorize the electronic deposit of your paycheck. Date - Enter the date you sign the form. The financial institution should also be notified if you cancel this agreement. The financial institution may cancel its agreement by providing you with written notice in advance of the cancellation date. You must advise SIU, Carbondale, immediately if this authorization is cancelled.