Athenian Direct Deposit Information
Please use this form to submit or change banking information for payroll processing.
Name
*
First Name
Last Name
Middle Initial
Email
*
Confirmation Email
example@example.com
Action To Be Taken
*
New
Change
Cancel
Effective Date
*
/
Month
/
Day
Year
Date
Financial Institution Name
*
Account Number
*
Routing Transit Number
*
Type of Account
*
Checking
Savings
Account Ownership
*
Self
Joint
Other
Add Photo of Voided Check or Direct Deposit Information From From Financial Institution:
Signature of Primary Account Holder
*
Type a question
Print Form
Save
Submit
Clear Form
Should be Empty: