Team Member Direct Deposit Form

I hereby authorize Ryan Southers, d/b/a Chick-fil-A at Georgetown FSU to provide for direct deposit of any wages or compensation due me, less any mandatory or authorized withholding or deductions, in the below designated account(s).  

• Team members employed by franchised Operators:  If at any time the amount of wages or compensation so deposited exceeds the amount of wages actually due and payable to me, I authorize my franchised Operator-employer, or Chick-fil-A, Inc. as payroll processor for my franchised Operator-employer, to withhold a sum equal to the overpayment from my future wages or recover such overpayment from the below designated account(s).  
• Team members employed by Chick-fil-A, Inc.:  If I am employed at a Chick-fil-A, Inc. Company-operated location, then at any time the amount of wages or compensation so deposited exceeds the amount of wages or compensation actually due and payable to me, then I authorize Chick-fil-A, Inc. as my employer to withhold a sum equal to the overpayment from my future wages or compensation or recover such overpayment from the below designated account(s).

If any action taken by me results in non-acceptance of a direct deposit by the designated financial institution(s), I understand that neither my franchised Operator-employer (if applicable) nor Chick-fil-A, Inc. assume responsibility for processing a supplemental salary or wage payment until the amount of the non-acceptance deposit is returned by the financial institution.  

 

Your Direct Deposit will continue to be deposited into your designated account(s) until Chick-fil-A, Inc. is notified by you or your franchised Operator-employer that you wish to re-designate your account(s). Please do not close an account listed above without you or your franchised Operator-employer giving the Payroll Processing Department at Chick-fil-A, Inc. at least two weeks prior written notice and providing the necessary alternative deposit instructions.