2026_Direct Deposit FormBank City State Zip
Account #1 __ __ __ __ - __ __ __ __ __ Checking
Bank Transit/ABA No. Account No. Savings Bank City State Zip
Human Resources
500 North Main Street, Ste.130
Monroe, NC 28112 T 704-283-3818
www.unioncountync.gov AUTHORIZATION AGREEMENT FOR DIRECT DEPOSIT
□ Direct Deposit – Initial Enrollment □ Direct Deposit – Change
Name: Employee ID #
Address:
City: State: Zip:
Information about Direct Deposit:
• Direct Deposited payroll checks are deposited on 12:01 a.m. of the actual pay date.
• Employees may choose to have direct deposit of payroll net pay into two separate types of bank accounts.
I would like to receive notice of direct deposit of payroll by Union County at the following e-mail address:
• ATTACH A VOIDED CHECK OR PRINT OUT FROM BANK FOR CHECKING ACCOUNTS.
• ATTACH A DEPOSIT SLIP AND/OR ACCOUNT NUMBER FOR SAVINGS ACCOUNTS.
By signing below, I authorize Union County to electronically deposit funds to my account as indicated. I also authorize any necessary debit entries or adjustments for entries made in error to my account. I understand that if my banking information changes and the
County is not made aware of this change, payment could be delayed.
Signature Date
Direct Deposit initial enrollments and changes must be submitted/completed in the HR office in person. You must provide a voided check or bank print-out verifying account information and present with a UC badge or other proof of identify with picture.
Account #2 __ __ __ __ -
Bank Transit/ABA No. Account No.
Checking
Savings
For second account, please indicate $ per pay period.