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Direct Deposit Change Form 2023 SDC

The document is an Employee Direct Deposit Information Form for Chan Thai Huynh, providing details for direct deposit into two bank accounts. It outlines requirements for submitting new banking information, including the need for a void cheque or bank form, and emphasizes the importance of timely communication regarding any changes. The employee acknowledges responsibility for the accuracy of the information provided and authorizes the School District #36 (Surrey) to process direct deposits accordingly.

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72 views1 page

Direct Deposit Change Form 2023 SDC

The document is an Employee Direct Deposit Information Form for Chan Thai Huynh, providing details for direct deposit into two bank accounts. It outlines requirements for submitting new banking information, including the need for a void cheque or bank form, and emphasizes the importance of timely communication regarding any changes. The employee acknowledges responsibility for the accuracy of the information provided and authorizes the School District #36 (Surrey) to process direct deposits accordingly.

Uploaded by

chanthuynh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Form # 7200.

2 (rev 05/2021)
Payroll Department

Employee Direct Deposit Information Form

EMPLOYEE NAME Chan Thai Huynh EMPLOYEE ID # 42461

POSITION IESW

1. BANK ACCOUNT INFORMATION:


MOST RECENT RECORD ON FILE (for security NEW or change to current banking information on
purposes, please indicate the bank account file, OR
information) 2nd BANK ACCOUNT (Amount: $ or
Percent:____% of net pay from every direct
deposit)
Name of Bank Tangerine Forward Banking Simplii Financial
Transit # 00152 30800
Bank# 614 010
Account # 4016904951 0108728601
Branch Address

Bank Stamp Not applicable

Bank Certification
(Name & Signature) Not applicable

IMPORTANT REQUIREMENTS FOR NEW BANKING INFORMATION:


 You must include a void cheque or a bank form indicating that you are the account holder. If your name and account numbers
are not preprinted on the void cheque or bank form, please have the bank form or this Direct Deposit Form duly signed and
stamped by an authorized bank representative.
 Send completed form to Payroll Department via Courier #471.
 Completed form can also be accepted as an attachment to your school district email (no personal email).
 The form must be received by the Payroll Department at least five working days prior to the payroll deposit date.
 When this is a change of bank account, do not close your previous bank account until a payroll deposit has been received in
your new bank account.

I understand that I am responsible for ensuring the information provided is current and have read the requirements. I will not hold
School District #36 (Surrey) responsible for lost or delayed payments if this information is inaccurate or if changes to my banking
information are made and not communicated to School District #36 (Surrey) in a timely manner. I hereby authorize School District
#36 (Surrey) to deposit payments directly into the bank account provided above, until further notice is provided in writing.

Signature Chan Thai Huynh _ Date Completed August 10, 2023

For Office Use Only:


Date Received: If Bank Information Change is Requested (pls. complete):
Date Processed: Date EE contacted:
DOC Verified (initial): Phone # used to contact:
PP # Processed: Information Verified: SIN Date of Birth Address

PYR_Employee Direct Deposit Information Form 20210421.docx

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