Direct Deposit Form

Transit & ABA #321177706

General Information
Name:		Account #:
Social Security #:		Payroll #:
To (Company Name):
Authorization & Amount
I hereby authorize you to deduct the following amount each pay period and credit my account with Bay Federal Credit Union.
Effective Date:
Payroll Type:	ACH (Direct Deposit)	Paper List or Tape List (Sent directly to CU)
Payroll Is: Monthly Semi-Monthly Bi-Weekly Weekly Start Stop Distribution change only Change Amount: I understand that any monies erroneously deposited in my account in excess of my authorized amount or the current salary entitlement may be withdrawn by Bay Federal Credit Union without liability of prior notice. By clicking “Submit” below, you hereby agree to the terms listed above.
Date Above Terms Acknowledged:
Distribute to Loans:		Distribute to Shares:
Loan #	$	Share #	$
Loan #	$	Share #	$
Loan #	$	Share #	$

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