Direct Deposit / Deduction Authorization Form

Central Michigan University
Payroll Department
204 Warriner Hall
Phone: (989) 774-3481
Fax: (989) 774-1069

Date: 
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THIS FORM IS NOT FOR STUDENT REFUNDS - PLEASE CLICK HERE FOR MORE INFORMATION

Employee Information

First Name MI
Last Name
Campus ID #
Last 4 digits of SSN
Daytime Phone
Pay Type
Semi-monthly (Salaried staff or faculty)      Bi-weekly (GA and Hourly Staff or Student)
Net Check
Setup Type New     Change     Stop Deduction     No Change
Financial Institution Name
Account Type Checking     Savings
Bank Routing/Transit Number (9 digit number)
Account Number
Where do I find the Account Number & Routing Number? click here
Select the number of additional Bank Accounts you would like to add or change:
Remove Second Account from Form
Second Account - Optional
Setup Type New     Change     Stop Deduction
Financial Institution Name
Account Type Checking     Savings
Bank Routing/Transit Number (9 digit number)
Account Number
If making a change in the deduction amount, please indicate the previous dollar amount deducted.
Deduction Amount Was: $     Now: $
Remove Third Account from Form
Third Account - Optional
Setup Type New     Change     Stop Deduction
Financial Institution Name
Account Type Checking     Savings
Bank Routing/Transit Number (9 digit number)
Account Number
If making a change in the deduction amount, please indicate the previous dollar amount deducted.
Deduction Amount Was: $     Now: $
Remove Fourth Account from Form
Fourth Account - Optional
Setup Type New     Change     Stop Deduction
Financial Institution Name
Account Type Checking     Savings
Bank Routing/Transit Number (9 digit number)
Account Number
If making a change in the deduction amount, please indicate the previous dollar amount deducted.
Deduction Amount Was: $     Now: $
Travel / Employee Reimbursement Account:  Fill this section out for travel reimbursements only.  These records are maintained separately and are required for ALL employees who travel or receive reimbursements.
Setup Type New     Change   No Change
Financial Institution Name
Account Type Checking     Savings
Bank Routing/Transit Number (9 digit number)
Account Number

Please enter any comments you may have below


I authorize Central Michigan University to initiate credit entries to my/our account(s) at the financial institution(s) listed above for the purpose of automatically depositing funds as indicated above.

I understand that this authorization replaces any previous authorization and will remain in full force and effect until Central Michigan University has received written notification from me of its termination in such time and in such manner as to afford CMU and the financial institution(s) a reasonable opportunity to act on it.

By submitting this authorization I understand that only the above listed financial accounts will be affected/changed.

A confirmation email will be automatically sent to your Cmich Email account.