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Direct Deposit Authorization Form
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Name of Bank:
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Type of Account:
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Checking
Savings
Check One
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Add
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9-Digit Routing #:
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Account#:
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Confirm Account#:
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Authorization
(Required)
I agree to the Direct Deposit Authorization Form Terms and Conditions.
Direct Deposit Authorization Form Terms and Conditions.
This authorization will remain in effect until I modify or cancel it in writing. I agree that in the event that I erroneously receive a deposit in my account, I authorize McDougle Technical Institute to debit my account for an amount not to exceed the original amount of the erroneous deposit. Should the funds no longer be in my account and these funds were not rightfully mine, I agree to return the amount of the erroneous deposit in full, upon demand. By signing this form, I agree to all the condition and fees imposed by the bank for all actions and exceptions noted above.
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