ECU Payroll Deduction Authorization Form

Employer payroll deduction authorization
I hereby authorize my employer to deduct from my salary the amounts set forth below and to deposit these funds at the Credit Union for each payroll period following receipt of this Authorization until further notice from me.  If I fail to cancel this Authorization upon filing for bankruptcy, my Employer and the Credit Union are directed to make and apply deductions in accordance with this Authorization.
Current account information
Member (first and last name):  
SSN/TIN:  
Member home phone:  
Member work phone:  
I want toto my current account 

Subsequent actions

I authorize the Credit Union to biweekly make the following deductions  to my accounts:
Amount to be deposited 
(check one):  
 Entire check
Specific amount $
Account type: Amount to be deducted:
 Share/Savings:
(Minimum of $15 per pay period)   		$ or Net Check
Share Draft/Checking:
(Minimum of $50 per pay period)   		$ or Net Check

Money Market:

 $
Christmas club:   $
IRA (specify #):  

$
Loan (specify #):  $
Loan (specify #):  $
Other (specify #):  $
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  ECU Credit Union

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This credit union is federally insured by the National Credit Union Administration.  Your savings are federally insured up to $250,000 by the National Credit Union Administration, a U.S. Government Agency.

 

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