Direct Deposit Authorization
Name _______________________________ Personnel # ___________
[ ] I would like to participate in the direct deposit service for travel expense reimbursements and hereby authorize the Procurement Office to access my direct deposit authorization information on file in the Payroll Office so that reimbursement can be made to the same account(s).
Bank Name: ________________________________________________
Type of Account: Checking / Savings (please circle one)
(please indicate which account you would like your travel reimbursement deposited to)
[ ] I would like my Travel Expense Reimbursements to be deposited into the following account which is not on file with the Payroll Office.
Your personnel number can be located on your payroll check stub in the “Employee ID” box.