Direct Deposit Authorization Form
Baltimore County Employees Federal Credit Union

Please fill out the form on your screen, print out and mail to the address listed below. The Credit Union requires an INK Signature for this application. We will not accept a faxed copy. This helps to reduce account fraud.

To:
  (Company Name/ Employer)

I authorize the above listed entity to electronically deposit funds each payday to my
Baltimore County Employees Federal Credit Union account listed below.



Account Number:
  Deposit entire amount to Checking
  Deposit entire amount to Savings
  Deposit $ to Checking
  Deposit $ to Savings


Please use the following personal information and signature authorization. Contact me with any questions.


Name:
Street Address:
 
City: State: Zip Code:
Social Security #:
Daytime Phone #: - -



Signature:
Date:

Contact your employer or income source to make sure no other special forms are required.



Baltimore County Employees Federal Credit Union
23 W. Susquehanna Ave., Towson, MD 21204
410-828-4730

ABA/Routing Number: 2520-7575-7