Get the free Direct Deposit Authorization/Termination form - hr iu

CHRS 06/09 Direct Deposit Authorization/Termination Tax Saver Benefit (TSB) and Wellness HRA Plans Please print or type. Use black ink. Employee Information Name: Employee ID#: Campus: Home Address:

How to fill out direct deposit authorizationtermination form

How to fill out direct deposit authorization termination form:

1. Obtain the direct deposit authorization termination form from your employer or financial institution. It may be available online or in paper format.
2. Fill in your personal information accurately, including your full name, address, and contact details.
3. Provide your account information, such as your bank name, branch address, account number, and routing number. Double-check this information to ensure its accuracy.
4. Indicate the reason for terminating the direct deposit authorization. This could include changing banks, switching payment methods, or any other relevant reason.
5. If necessary, provide any additional information requested on the form, such as your employee identification number or the effective date of the termination.
6. Read through the form carefully to ensure all information is accurate and complete.
7. Sign and date the form to certify its authenticity and agreement with the termination request.
8. Submit the completed direct deposit authorization termination form to your employer or financial institution by following their specific instructions.
9. Keep a copy of the filled-out form for your records.

Who needs direct deposit authorization termination form:

1. Individuals who have previously set up direct deposit for their paycheck or other regular payments and now wish to terminate this arrangement.
2. Employees who are changing banks and need to cancel their existing direct deposit authorization.
3. Individuals who have encountered issues with their direct deposit and need to submit a termination request to rectify the situation.

Please note that the specific requirements and procedures for filling out and submitting a direct deposit authorization termination form may vary depending on the company or financial institution involved. It is recommended to consult with your employer or financial institution for any specific instructions or guidelines.

For pdfFiller’s FAQs

What is direct deposit authorization termination form?

The direct deposit authorization termination form is a document that allows an individual to end their authorization for direct deposit of funds into their bank account.

Who is required to file direct deposit authorization termination form?

Any individual who wants to stop receiving direct deposits into their bank account is required to file the direct deposit authorization termination form.

How to fill out direct deposit authorization termination form?

To fill out the direct deposit authorization termination form, you will need to provide your personal information, such as name, address, and social security number, as well as the details of your bank account.

What is the purpose of direct deposit authorization termination form?

The purpose of the direct deposit authorization termination form is to allow individuals to stop receiving direct deposits into their bank account and revert to another form of payment or withdrawal method.

What information must be reported on direct deposit authorization termination form?

The direct deposit authorization termination form typically requires the individual's personal information, such as name, address, and social security number, as well as the details of their bank account, including account number and routing number.

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