Name of Financial Organization Enter the name of the financial organization which is to receive your deposit. Street Address Enter the street address of the financial organization which is to receive your deposit. For help with completing this section, please contact the Offices of Human Resources or your financial institution. Some financial institutions print the check serial number after the account number on the bottom of the check. Do not include a check serial number as part of your account number.
Signature Sign the form to authorize direct deposit.
Date Enter the date on which the form was signed. Your earnings statement for each pay period will be sent to your campus address. The Offices of Human Resources is required by external auditors to maintain a signature card file for all university accounts which incur salary and wage charges for employees. The card contains the signature of the fiscal officer of the account and the signatures of designated representatives authorized to sign employee payroll documents for the fiscal officer. The signature card enables the Offices of Human Resources staff to verify signatures on payroll documents.