AUTHORIZATION FOR DIRECT DEPOSIT STATEMENT: I hereby authorize Santaquin City Corp. to initiate automatic deposits to my account at the financial institution named below, (or) if I am a returning employee, I authorize Santaquin City to reinstate my automatic deposits. I also authorize Santaquin City Corp. to make withdrawals from this account in the event a credit entry is made in error.
I agree not to hold Santaquin City Corp. responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account.
This agreement will remain in effect until Santaquin City Corp. receives a written notice of cancellation from me or my financial institution, or until I submit a new/updated direct deposit form to Human Resources.