Authorization Agreement for Automatic Payroll Deposits
Employee Information:
Name________________________________________Social Sec#_______________________
Street_________________________________________City_______________Zip___________
Financial Institution Information:
Financial Institution Name: Lapeer County School Employees Credit Union
Address: 168 N. Saginaw Street, Lapeer, MI 48446 Routing #: 272482281 Bank Phone#: 810-664-535
Account #: _____________________Type of Account: Savings ** Amount of Deposit: __________
**The Credit Union will distribute as you specify into your account Enter "NET" to deposit you entire paycheck
I hereby authorize "DRYDEN COMM SCHOOLS" to deposit my payroll earnings into the account(s) listed above and if necessary, debit entries or adjustments for any deposits made in error to my (our) account. This is to remain in full force and effect until written notice from me has been received by the company in such a manner as to afford reasonable time to act on it.
Signature_________________________________________ Date_____________________
** If you need to have your paycheck distributed into checking, savings, christmas club, club trailer 61, or another family members account; click here for payroll deduction form.