Print , fill in blanks, attach a voided check from the account, and mail to Human Resource Services, Sam H. Ingram Building, P.O. Box 35, Murfreesboro, TN 37132. For questions related to Direct Deposit please call 615-898-2929.
** If you currently have a direct deposit and have closed the account, please print and complete the Direct Deposit Cancellation Form.
Your direct deposit should start within 14 days. You may have a total of two direct deposit accounts. They may be at the same bank or at different banks. The deposit may be a dollar amount or a percentage of your paycheck. Your direct deposit receipt will be sent via email on each payday. If you do not have an email account a pay stub will be sent to your home department.
If you are a regular employee, your final check will NOT be a direct deposit.
I hereby request that my Middle Tennessee State University payroll check be deposited automatically to the account(s) indicated on the attached void check/deposit slip below. I also authorize Middle Tennessee State University to debit (withdraw) any money which was transferred by mistake.
EMPLOYMENT STATUS
Hourly Employee Adjunct, GA, GTA Employee
Student/Hourly employees, please indicate department where your deposit stub should be sent
__________________________________________________________________________________
Print Name: ___________________________________________________
Signature: ___________________________________________________ Date:______________________
M Number: ____________________________ Home Phone Number:______________________
Direct Deposit #1: ____________________________________________ Name of Financial InstitutionChecking ____________% or $_________ Routing # _________________________ Account # _________________________
Savings ____________% or $__________ Routing # _________________________ Account # _________________________
Direct Deposit #2: ____________________________________________ Name of Financial InstitutionChecking ____________% or $_________ Routing # _________________________ Account # _________________________