Fillable Printable Direct Deposit Notification Form - University System of Georgia Shared Services Center

Direct Deposit Notification Form - University System of Georgia Shared Services Center

UNIVERSITY SYSTEM OF GEORGIA

SHARED SERVICES CENTER

Direct Deposit Notification Form

(To be signed by all new hires and rehires on and after July 1, 2011)

In accordance with the Required Electronic Transfer of Funds policy effective July 1,

2011, as a condition of employment, a person hired or rehired to a position in the

University System of Georgia on or after July 1, 2011, is required to accept all payroll-

related payments by direct deposit.

The complete policy can be found in the Board of Regents Policy Manual, Section 7

Finance and Business, 7.5.1.1, Required Electronic Transfer of Funds, at the following

location: http://www.usg.edu/policymanual/. The business procedures and related

documents can be found in the Business Procedures Manual, Section 5, Payroll, 5.3.1,

Method of Payment for Compensation and at the following location:

http://www.usg.edu/policies/

I understand, that as a condition of employment, because I am a new hire or rehire

applicant, I must comply with the Board of Regents Policy and enroll in direct deposit

within 30 days of being hired or rehired and remain enrolled in direct deposit during the

remainder of my employment. I understand that I can apply for an exemption from this

requirement and be paid via a paycard as provided by the policy. I understand that if I

am not granted an exemption, I may be subject to dismissal.

Employee Name (Please Print): ____________________________________________________

Employee Signature: _________________________________________ Date: _____________

To be completed by employing institution:

Employee ID Number: _____________ Position Title: _________________________________

Hiring Institution Name: _________________________________________________________

Hiring Supervisor or HR Official: _________________________________________________

Copy 1 – Institution Human Resources/Payroll Office

Copy 2 – Employee

Copy 3 – Shared Services Center (If applicable)

DDNF

O7-01-2011