Direct Deposit Payee's Authorization Form
Baltimore County Office of Budget and Finance and Baltimore County Public Library

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.

I authorize the Baltimore County Office of Budget and Finance or Baltimore County Public Library and the financial institution listed below to deposit my net pay automatically to my checking or savings account each payday.

In the event that funds are deposited to my account that I am not entitled to, the Baltimore County Office of Budget and Finance or Baltimore County Public Library is authorized to notify the financial institution to debit my account to return said funds.



ITEMS (1) THROUGH (6) MUST BE COMPLETED TO PROCESS THIS REQUEST.

1. Name: Social Security #
2. Check One:
  I am employed by Baltimore Co. Government - Department:
  I am employed by Baltimore Co. Public Library - Branch Location:
3. Check One: New Change* Delete
4. Baltimore County Employees Federal Credit Union - Account Number:
5. Check One: Checking Account Savings Account

The Credit Union Routing Number is 252075757


6. Signature: _________________________________________________________________________ Date: _________________________________
  Daytime Phone #: - -    

Pending account verification, this transaction will be effective the second payday after receipt.

*ANY CHANGE IN ACCOUNT NUMBER OR FINANCIAL INSTITUTION WILL CAUSE A BREAK IN DIRECT DEPOSIT. A CHECK WILL BE CUT FOR YOU THE DAY AFTER THE ACCOUNT CHANGE.

This authorization agreement is to remain in full force and effect until written notification is received from the payee, in such a manner as to afford the payor a reasonable opportunity to act on it. For more information, call Baltimore County Pay System Division at (410) 887-2420 or Baltimore County Public Library Accounting Office at (410) 887-6173



(Office Use Only)
Pre-Note Code: _____________________________________________________ Pre-Note Date: _________________________________


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

ABA/Routing Number: 2520-7575-7