Direct Deposit Payee's 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 reduce account fraud.

Baltimore County Employees Federal Credit Union
23 W. Susquehanna Avenue
Towson, Maryland 21204


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.

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Request Type:
What request type?
Account Type:
What Type of Account?
 
X _______________________________________________________ ____________________________
Signature Date
 

Pending account verification, this transaction will be effective the second payday after receipt (must be received by the 15th of the month).

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


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

ABA/Routing Number: 2520-7575-7