UNIVERSITY OF GUAM			Administration and Finance
	
Unibetsedåt Guahan		Payroll Office

DIRECT DEPOSIT AUTHORIZATION (Form PAYR-04)

Employee Name		
	Note: College work study are not eligible for direct deposit	
ID #		
Contact Number  Email Address		
Department / Unit		
Financial Institution		
Bank branch		
Account #		
	Note: Notify payroll of any ACCOUNT NUMBER changes ASAP	
	        This  will supersede any existing  account	
Type of Account	Savings (S)          		Checking (D)			
	Please check one 	
Effective date:		

•	I hereby authorize the UNIVERSITY OF GUAM, PAYROLL OFFICE to deposit the FULL NET of my paycheck into my bank account.
•	I agree that the UNIVERSITY OF GUAM will endeavor to deliver my deposit to the bank by the official Friday payday.  
•	I recognize that the bank may not credit my account on the day they receive the deposit. 
•	I also agree that the UOG PAYROLL OFFICE will not be held responsible for maintaining records of cumulative deposits made.
•	Accepted Institutions: Bank of Guam, Bank of Hawaii (GU), Bank Pacific, Citibank (GU), Citizens Security Bank, Community First Guam FCU, First Hawaiian Bank (GU/HI), GovGuam Employee FCU, Merrill Lynch, Navy Federal CU, Pentagon FCU, USAA Federal Savings Bank.

			
Signature of Employee		Date