Colusa County Office of Education
Direct Deposit Enrollment Agreement

Employee Name: ______________________________________________S.S. #___________________________

Employee Options: 

Checking Account – Attach a voided check or transit routing and account number from your financial institution.
					
Savings Account – Attach transit routing and account number from your financial institution.

I hereby authorize CCOE to initiate deposit entries to my checking or savings account in order to directly deposit wages paid by my employer. I understand and agree to the following as a result of participation in this Automatic Pay Deposit (APD) program.

This enrollment agreement is effective for the first payroll period in which it is received in Payroll on or prior to the established cutoff date of the 15th of each month.

* * PLEASE NOTE * *

The first pay period this agreement is active, a test is sent to the employee’s bank confirming the existence of the account. A regular payroll check will be issued for the first month this agreement is active. The following pay period a payroll stub will be issued and direct deposit will take effect. The net pay of the stub will be deposited into the account and available to the employee on the pay date. Termination of this agreement must be made by written notification to payroll.
Upon separation from the district, this contract will terminate.

IT IS CRITICAL THAT YOU NOTIFY PAYROLL WHEN YOU HAVE CHANGED BANKS AND OR CANCELLED YOUR ACCOUNT!

If a Direct Deposit cannot be credited to an account because it has been closed, the Bank will reject the Direct Deposit and reroute it back to the employer. This return process may take several days. Participants in the program agree that if this happens they will wait for the funds to be received by the employer before receiving a replacement of the payroll check.

Name (Please Print): __________________________________________________________

Signature: __________________________________Date: ________________

							Date entered into system ___________________
Revised 7/17/15