<%@ Page Language="VB" ContentType="text/html" ResponseEncoding="iso-8859-1" %> VSECU Direct Deposit of Payroll Change/Cancellation Request

Direct Deposit of Payroll
Change/Cancellation Request

 VSECU
 
Mail this form to: From:
 
Re:
Employee #:
 
Account #:
 
Attention Payroll Department:
Please CHANGE my direct deposit agreement as follows:

Please allow this to serve as my notification to you of a change in my financial institution. You are currently depositing my earned income into my account at account # . Effective please discontinue using this account and begin using my account at Vermont State Employees Credit Union. My account number is . The VSECU ABA-Routing number is 211691185. Please process as an ACH credit. Do not use hyphens or decimal points with the account number. If you have any questions, please contact the Vermont State Employees Credit Union at 800/802-371-5162.
 
Or,
 
Please CANCEL my direct deposit agreement per the instructions below:
I am submitting this written notification of my intent to discontinue the direct deposit agreement from which you are currently depositing my earned income into my account at account # . Effective please discontinue all transactions related to this account. This account is being closed.
 
Thank you in advance for your prompt attention to this matter.
 
 
_______________________________________
Primary Account Holder Signature/Date
 
Phone #(s):
Day:
Evening:
Mobile:
 
 
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