"Direct Deposit Form" - City of San Antonio, Texas

Direct Deposit Form is a legal document that was released by the Fire Department - City of San Antonio, Texas - a government authority operating within Texas. The form may be used strictly within City of San Antonio.

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Download "Direct Deposit Form" - City of San Antonio, Texas

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City of San Antonio Direct Deposit Form
Employee Name __________________________
SAP Employee ID _______________
Personnel Area (Department)________________
Effective Date (must be first day of pay period)__________
Main Bank Information – This section MUST be completed if this is your initial request
or a replacement for primary bank
Bank Name and Location____________________________
□□□□□□□□□
Bank Key/Routing Number
□□□□□□□□□□□□□□□□□□*
Bank Account Number
Checking (01)
or Savings (02)
Is this SAN ANTOINIO CITY EMP FCU (314088572)?
Other Bank Information – This section is optional if you wish to redirect a specified
amount or percentage of your net check to an account other than your primary bank
Bank Name and Location____________________________
□□□□□□□□□
Bank Key/Routing Number
□□□□□□□□□□□□□□□□□□*
Bank Account Number
Checking (01)
or Savings (02)
Is this SAN ANTOINIO CITY EMP FCU (314088572)?
Amount Per Pay Period $______________ Or Deposit Percentage Per Pay Period __________%
Employee’s Signature ______________________________ Date ___________________
Information provided by: __________________________ Date ___________________________
Entered and Authorized by _________________ Logon____________ Date ________________
*To help ensure accuracy please attach a VOIDED check for verification.
COSA- Direct Deposit form (0009)
City of San Antonio Direct Deposit Form
Employee Name __________________________
SAP Employee ID _______________
Personnel Area (Department)________________
Effective Date (must be first day of pay period)__________
Main Bank Information – This section MUST be completed if this is your initial request
or a replacement for primary bank
Bank Name and Location____________________________
□□□□□□□□□
Bank Key/Routing Number
□□□□□□□□□□□□□□□□□□*
Bank Account Number
Checking (01)
or Savings (02)
Is this SAN ANTOINIO CITY EMP FCU (314088572)?
Other Bank Information – This section is optional if you wish to redirect a specified
amount or percentage of your net check to an account other than your primary bank
Bank Name and Location____________________________
□□□□□□□□□
Bank Key/Routing Number
□□□□□□□□□□□□□□□□□□*
Bank Account Number
Checking (01)
or Savings (02)
Is this SAN ANTOINIO CITY EMP FCU (314088572)?
Amount Per Pay Period $______________ Or Deposit Percentage Per Pay Period __________%
Employee’s Signature ______________________________ Date ___________________
Information provided by: __________________________ Date ___________________________
Entered and Authorized by _________________ Logon____________ Date ________________
*To help ensure accuracy please attach a VOIDED check for verification.
COSA- Direct Deposit form (0009)