Swartz Creek Community Schools
8354 Cappy Lane, Swartz Creek, MI  48473-1299
(810) 591-2393  FAX:  (810) 591-2784

Participation in direct deposit is MANDATORY for all employees.  Please complete this form and return it to the PAYROLL OFFICE.

DIRECT DEPOSIT AUTHORIZATION FORM

Check one:      Start  Direct Deposit                Change  Existing Information

Employee Name:  SSN:

Name of Financial Institution: 

City:   State:    Zip: 

Routing Number:  (nine digit number at bottom/left of check)

Checking Account #:   or Savings Account #:

For CHECKING or SAVING ACCOUNTS
            Please attach a VOIDED CHECK below to assure accurate routing.

I hereby authorize Swartz Creek Community Schools to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit error to my account.  This authority remains in effect until the Swartz Creek Schools Payroll Office  receives written notification to cancel.

___________________________________        ________________________
                    Employee Signature                                                            Date

~PLEASE ATTACH CHECK HERE~