EF79 DRCC DIRECT DEPOSIT ENROLLMENT

We are pleased to be able to offer you a payday convenience – Direct Deposit. You will have your paycheck automatically deposited in your checking or savings account (or both) on payday. And you don’t have to change your present banking relationship to take advantage of this service.

Direct Deposit will help you in many ways.  It saves trips to your financial institution.  It saves time in depositing checks – no long payday lines to wait in.  It eliminates the possibility of lost, stolen or forged checks.  Your money is deposited faster – reduces the possibility of overdrafts.  It means you get your money deposited to your account even if you’re on vacation or away from the office on business or illness.

Here’s how Direct Deposit works: Each payday an earnings statement (check stub) showing gross salary, taxes, other deductions, and net pay will be sent to your facility. This procedure will continue until the automated payroll system is up and running, at which time you will be able to access/print your earnings statement via the Internet. Your money will already have been deposited in your account. The amount of the deposit will appear on your bank statement.

We believe you will like the convenience of having your net pay automatically deposited for you. Direct Deposit is safe, convenient and easy. To authorize DRCC and your financial institution to deposit your pay to your account(s), complete the information below and return this form to Sherry Olson, Payroll Coordinator.

All you need to do is: 1. Mark the appropriate box(es) before the type of account(s) to indicate whether your pay will be deposited in your checking, savings, or both accounts. 2. Attach a voided check for checking accounts and/or a savings deposit slip for savings accounts for verification of all financial institution information. 3. Be sure to sign this form! EMPLOYEE’S AUTHORIZATION

I authorize DRCC and the financial institution listed on my attached void check/deposit slip to initiate electronic credit entries, and if necessary, debit entries and adjustments for any credit entries in error to my account(s) each payday. □ Checking account only Account # ______Routing # ______

Additional Account Account # ______Routing # ______

□ Savings account only Account # ______Routing # ______

Additional Account Account # ______Routing # ______

□ ATM account only – ATM Account # ______Routing # ______

□ Checking ______% or $______and Savings account ______% or $______

______Employee Signature Date

______Printed Name

*Your first paycheck will be a printed check as your account number(s) will need to be verified before automatic deposit begins. Your check will be put in your facility box. 09.24.15