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DIRECT DEPOSIT AUTHORIZATION Complete and return this form to the Payroll Department, Suite 310. NAME ID NO. FACILITY PAID SEMIMONTHLY MONTHLY********DIRECT DEPOSIT SPLITS WILL ONLY APPLY TO REGULAR

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1. To fill out and complete this form, follow these steps:
2. Start by reading the instructions on the form carefully.
3. Gather all the necessary information and documents that are required to fill out the form.
4. Begin filling out the form by entering the requested information accurately and legibly.
5. Double-check all the entries and make sure there are no errors or missing information.
6. If there are any sections or questions that you are unsure about, seek clarification or assistance.
7. Once you have completed filling out the form, review it one final time to ensure its completeness.
8. Sign and date the form, if required.
9. Make a copy of the completed form for your records.
10. Return the form as per the instructions provided, either by mail, email, or in-person.
11. Keep a record of when and how you returned the form in case there are any future inquiries or issues.
12. Remember to follow any additional guidelines or requirements mentioned in the instructions provided with the form.

Who needs complete and return this?

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