ࡱ> GJF] 8-bjbj 44!b!b ""D,* ."xuuumoooooo$X!$QuuuuuAAAu mAumAAA0) AY0* A$ $A$AuuAuuuuuuuu* uuuu$uuuuuuuuu"B d: Employee Authorization for Electronic Direct Deposit of Payroll Wages  FORMCHECKBOX  New direct deposit  FORMCHECKBOX  Change to an existing direct deposit  FORMCHECKBOX  Cancellation of deposit I authorize the 91Ԫ-Missoula to deposit my wages to my account(s) indicated below and I authorized the depository (ies) below to accept my payroll deposit and credit the amount(s) to my account(s). (Please attach a VOID check). Employee Name:  FORMTEXT       UM ID Number:  FORMTEXT       (or Social Security #) Bank #1  FORMCHECKBOX  Checking  FORMCHECKBOX  Savings $Amount, % or Entire  FORMTEXT       Bank Name:  FORMTEXT      City:  FORMTEXT       State:  FORMTEXT       FRB Routing Number:  FORMTEXT       Account Number:  FORMTEXT       Bank #2  FORMCHECKBOX  Checking  FORMCHECKBOX  Savings Amount $/or Entire  FORMTEXT       Bank Name:  FORMTEXT      City:  FORMTEXT       State:  FORMTEXT       FRB Routing Number:  FORMTEXT       Account Number:  FORMTEXT      This authority is to remain in full force and effect until the University of Montana receives written notification from me to caFGHVWXYkop~Y Z ۷۩ۡvjah{h`haJhDh`h5CJaJh_5CJaJhch`h5CJaJhh`hCJaJhch`hCJaJh1CJaJjhAXh`hUjthAXh UhAXh`h5jhAXh`hU hAXh`hjhAXh`hUhh`h5hh`h5CJ$FG hkd$$Ifll-h5 t0644 layt18 $Ifgdigd`h$a$gd`h  & 0 : < > H N P d f h r t 纳}sa}M}sF? hg5aJ hf:d5aJ'jh`hh`h>*UaJmHnHu"jh`hh`h>*UaJh`hh`h>*aJjh`hh`h>*UaJh{h`haJhg5CJaJhCNh`h5CJaJhLO5CJaJ hLO>*aJ h`h>*aJ'jh [h`h>*UaJmHnHu"j\h [h`h>*UaJh [h`h>*aJjh [h`h>*UaJ  " $ & B D F b f h j v ~ ѴѤўўю{rerjh18h`hUaJh18h`haJ$jh{h`hUaJmHnHuj,h{h`hUaJ hpaJjh{h`hUaJjDh{h`hUaJjh{h`hUaJh{h`haJ h`haJh<h`h5aJ h`h5aJ h]GJ5aJ hf:d5aJ#   $ & ( 2 4 $ & : < > H J ƶƦƖƆuofh{h`haJ h`haJh<h`h5aJ h`h5aJjZh18h`hUaJjh18h`hUaJjh18h`hUaJjh18h`hUaJh18h`haJ$jh18h`hUaJmHnHujh18h`hUaJjh18h`hUaJ% &hkd$$Ifll-h5 t0644 layt18 $Ifgdihkdq$$Ifll-h5 t0644 layt18  hkd $$Ifll-h5 t0644 layt18 $Ifgdigd`h "$<>FHdfh (*>@B闊zgWj h18h`hUaJ$jh18h`hUaJmHnHujh18h`hUaJjh18h`hUaJh18h`haJ$jh{h`hUaJmHnHuj-h{h`hUaJjh{h`hUaJ h`haJjEh{h`hUaJh{h`haJjh{h`hUaJ"BLN8:NPR\^&& & &"&0&4&@&H&|&~&׷קל|t|lt|hAXCJaJha{CJaJhP@IhP@ICJaJhP@ICJaJUhP@IhCJaJhP@Ih`hCJaJj[ h18h`hUaJj h18h`hUaJj h18h`hUaJh18h`haJjh18h`hUaJ$jh18h`hUaJmHnHu& &hkd $$Ifll-h5 t0644 layt18 $Ifgdihkdr $$Ifll-h5 t0644 layt18ncel, or after a period of time upon termination of employment. Your pay will continue to be issued via check until routing/account numbers from your authorization form have been verified (pre-noted) by your bank. Typically, your direct deposit will be active on the second paid date after initiating this process. Please contact your bank to verify funds HAVE deposited. The University of Montana is NOT responsible for charges due to insufficient funds. Please return to UM-Human Resource Services, 32 Campus Drive, Lommasson Center, Room 252, Missoula, MT 59812. Questions???? Call Human Resource Services at 406-243-6451. Signature ________________________________________________________ Date_______________ Work phone:  FORMTEXT       Home/Cell phone:  FORMTEXT       ------------------------------------------------------------------------------------------------------------------------- ~&&''((((*)0)V)b)))))))*<*@*J*r*t*x*********ǿdzǖwlalVhP@Ih`hCJaJhP@IhP@ICJaJhP@IhCJaJhP@IhAGCJaJhAGCJaJhAGh5CJaJhCJaJh5CJaJh] h`h5CJaJhh5CJaJhJ>CJaJh`hCJaJhh`h>*CJaJhnCJaJh1CJaJh}h`hCJaJh`h5CJaJ **+D,8- dh`gd`hdhgd+3gd`h**+x+z+|++++++++++++++,,,$,&,(,2,4,<,>,@,B,D,6-8-佳|佳ja[U hnaJ hraJhch`haJ"j h [h`h>*UaJ h5aJhh`h5aJ'jh [h`h>*UaJmHnHu"jF h [h`h>*UaJh [h`h>*aJjh [h`h>*1󸿳5<h`h5aJ h`haJh{h`haJhrh`h5h}h+3CJaJ!21h:p+3/ =!h"h# $% tDeCheck1tDCheck2tDeCheck3tDText1tDText2tDeCheck4tDeCheck5tDText4tDText5s$$If!vh#v-:V l t065h5yt18tDText6tDText7s$$If!vh#v-:V l t065h5yt18tDText9vDText10s$$If!vh#v-:V l t065h5yt18tDeCheck4tDeCheck5tDText4tDText5s$$If!vh#v-:V l t065h5yt18tDText6tDText7s$$If!vh#v-:V l t065h5yt18tDText9vDText10s$$If!vh#v-:V l t065h5yt18vDText11vDText12s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH @`@ NormalCJ_HaJmH sH tH DA D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List jj I Table Grid7:V0HH f:d Balloon TextCJOJQJ^JaJN/N f:dBalloon Text CharCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< 4 B~&*8-  8- GWo$[k}?KQ}AMScouVbh G$G$G$FFG$G$FFFFFFG$G$FFFFFFFF8@0(  B S  ?   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