Employee Direct Deposit

Employee Direct Deposit
Legacy Email Address
example@legacypca.com
Are you a new employee?
All Direct Deposit submissions must be accompanied by a voided check or Direct Deposit form issued by your bank for each account.

Temporary checks are accepted as long as employee name is present.
(Printed or written).

Instructions for Use:
Add new/update an existing PRIMARY Checking Account?
New hires must select "YES" on this option.
Primary Bank Name
Where your check will be deposited.
Primary Bank Phone Number
Format: (000) 000-0000.
Primary Routing Number
Primary Account Number
Type of Account
If you are uploading a temporary check, please write your name LEGIBLY on the check before uploading.
Voided Check or Bank-Issued Form

File type must be PDF
Cancelof

Add new/update an existing SECONDARY checking account?
2nd Checking Bank Name
Where your check will be deposited.
2nd Checking Bank Phone Number
Format: (000) 000-0000.
2nd Checking Routing Number
2nd Checking Account Number
Flat Amount or Percentage?
Flat Amount
Percentage
If you are uploading a temporary check, please write your name LEGIBLY on the check before uploading.
Voided Check or Bank-Issued Form

File type must be PDF
Cancelof
Remove Checking Account

By signing this form, I authorize Legacy Preparatory Charter Academy (Legacy 21) to initiate credit entries to the aforementioned checking and/or savings account(s). I acknowledge that the origination of the ACH transactions to my account must comply with the provisions of U.S. law. If monies to which I am not entitled are deposited to my account, I further authorize Legacy 21 to direct the financial institution to return said funds and I authorize the financial institution to act on Legacy 21’s direction and to return said funds. This authority will remain in effect until Legacy 21 has received written notification from me of its termination in such time and in such manner as to afford Legacy 21 a reasonable opportunity to act on it.
Full Printed Name
First & Last Name as it appears in Skyward
Best Phone Number
Format: (000) 000-0000.
Signature (Please sign in the middle of the box)
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Please verify that you are human
This will be your only opportunity to print/save this document.

Please selecte Preview PDF below to review, print and/or save this document prior to submisison.
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