Fillable Printable Direct Deposit Form - Colorado

Direct Deposit Form - Colorado

Direct Deposit Form

Provide this completed form to your Payroll Department or Government Agency to activate Direct

Deposit/Payroll Deduction into your Colorado Credit Union (CCU) accou nt.

Direct Deposit / Payroll Deduction Request Form

Name: _____________________________________________________________________

Social Security Number: _______________________________________________________

Send to Colorado Credit Union (Routing & Transit Number / ABA Number) : 302075267

CCU Account Number: _______________________________________________________

Account Type: Please check only one

Checking _____________ Savings_______________

Start Date: (if other than as soon as po ssi ble)

______________________________________________________

Total Amount of Deposit: Please select only one

$_________________ or Net Check ____________

Signature: ______________________________________________ Date: _______________