Form IT0009 "Bank Details/Direct Deposit Enrollment Form" - Arkansas

What Is Form IT0009?

This is a legal form that was released by the Arkansas Department of Transformation and Shared Services - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 2, 2021;
  • The latest edition provided by the Arkansas Department of Transformation and Shared Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IT0009 by clicking the link below or browse more documents and templates provided by the Arkansas Department of Transformation and Shared Services.

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Download Form IT0009 "Bank Details/Direct Deposit Enrollment Form" - Arkansas

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Department of Transformation and Shared Services
Office of Personnel Management
Bank Details / Direct Deposit Enrollment Form (IT 0009)
Department Name
Business Area
Effective Date
Personnel Number
Name (Last, First, Middle Inital)
BANK DETAILS (IT 0009)
Account Type
Transaction Required
Bank Type
Bank Name
Bank Transit Number
Bank Account Number
Standard Value or Percentage
Transaction Required
Bank Type
Bank Name
Account Type
Standard Value or Percentage
Bank Transit Number
Bank Account Number
EMPLOYEE SIGNATURE
Provided I have chosen a direct deposit option, I hereby authorize the Arkansas Direct Deposit System (ADDS) to deposit to my account(s)
indicated above the new amount I am due as if a warrant has been delivered to me for that amount. I also authorize the Financial
Institution(s) indicated above to credit the amount(s). Should an incorrect entry be made, ADDS is authorized to initiate debit entries to my
account(s) necessary to correct the incorrect credit entries. This authority is to remain in effect until ADDS has received written notification
from me of its termination. I understand that by having my payment(s) deposited in this manner, a direct deposit advice notification will be
available on-line.
Employee Signature
Date
Phone Number
SUBMITTING OFFICE AUTHORIZATION
HR Administrator
Signature
Entered By (If different than HR Administrator)
Date
Bank Details/Direct Deposit Enrollment Form IT009 (Revised 03/02/2021)
Department of Transformation and Shared Services
Office of Personnel Management
Bank Details / Direct Deposit Enrollment Form (IT 0009)
Department Name
Business Area
Effective Date
Personnel Number
Name (Last, First, Middle Inital)
BANK DETAILS (IT 0009)
Account Type
Transaction Required
Bank Type
Bank Name
Bank Transit Number
Bank Account Number
Standard Value or Percentage
Transaction Required
Bank Type
Bank Name
Account Type
Standard Value or Percentage
Bank Transit Number
Bank Account Number
EMPLOYEE SIGNATURE
Provided I have chosen a direct deposit option, I hereby authorize the Arkansas Direct Deposit System (ADDS) to deposit to my account(s)
indicated above the new amount I am due as if a warrant has been delivered to me for that amount. I also authorize the Financial
Institution(s) indicated above to credit the amount(s). Should an incorrect entry be made, ADDS is authorized to initiate debit entries to my
account(s) necessary to correct the incorrect credit entries. This authority is to remain in effect until ADDS has received written notification
from me of its termination. I understand that by having my payment(s) deposited in this manner, a direct deposit advice notification will be
available on-line.
Employee Signature
Date
Phone Number
SUBMITTING OFFICE AUTHORIZATION
HR Administrator
Signature
Entered By (If different than HR Administrator)
Date
Bank Details/Direct Deposit Enrollment Form IT009 (Revised 03/02/2021)