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Form preview Csc authorization form EMPLOYEE DIRECT DEPOSIT AUTHORIZATION FORM PLEASE COMPLETE AND FORWARD TO YOUR ACCOUNT SPECIALIST AT CSC PAYMASTER Company Employee YOUR COMPANY NAME I we hereb y authorize and request hereinafter called COMPANY to make payment of any amount owing to me either of us for either deposit of net pay or payroll deduction as indicated below by initiating entries to my our account indicated below in the bank named below hereinafter called BANK and I we authorize and request BANK to accept any credit entries initiated by COMPANY to such account and to credit the same to such account without the responsibility for the correctness thereof. In the event that COMPANY deposits funds erroneously into my our account I authorize COMPANY to debit my account for an amount not to exceed the original amount of the erroneous credit. Employee BANK Information Employee Name please print Begin Deposit Change Information Cancel Bank Name Transit Numb er 9 digits State Account Checking attach void check I wish to deposit check one Savings attach savings slip I wish to deposit check one Net Entire net pay This authorization is to remain in full force and effect until COMPANY and BANK have received written notice from me of its termination in such manner as to afford COMPANY and BANK a reasonable opportunity to act on it. Employee Signature Date // ATTACH ACCOUNT INFORMATION HERE 37 Jefferson Blvd. Warwick R*I. 02888 401 785-0300 Fax 401 785-9895 Email info cscpaymaster. Employee BANK Information Employee Name please print Begin Deposit Change Information Cancel Bank Name Transit Numb er 9 digits State Account Checking attach void check I wish to deposit check one Savings attach savings slip I wish to deposit check one Net Entire net pay This authorization is to remain in full force and effect until COMPANY and BANK have received written notice from me of its termination in such manner as to afford COMPANY and BANK a reasonable opportunity to act on it. Employee Signature Date // ATTACH ACCOUNT INFORMATION HERE 37 Jefferson Blvd. Warwick R*I. 02888 401 785-0300 Fax 401 785-9895 Email info cscpaymaster.
Form preview Authorization letter to collec... Authorization Letter Date This is to certify that I. Applicant s Name Authorize my agent/ representative whose signatures are verified below to collect the sealed envelope on my behalf. Fill the following details Name of the Agency If applicable. Representative Name who will collect the Passport. Id Number of the Representative. Contact Details. Authorization Letter Date This is to certify that I. Applicant s Name Authorize my agent/ representative whose signatures are verified below to collect the sealed envelope on my behalf* Fill the following details Name of the Agency If applicable. Representative Name who will collect the Passport. Id Number of the Representative. Contact Details. Specimen Signature of the authorized representative. Please note that representative must bring the original Identity proof for verification purpose. The passport / document will not be handed over without original Identity proof* Applicants Signature BLS Reference Number / Passport Number. Representative Name who will collect the Passport. Id Number of the Representative. Contact Details. Specimen Signature of the authorized representative. Please note that representative must bring the original Identity proof for verification purpose. Specimen Signature of the authorized representative. Please note that representative must bring the original Identity proof for verification purpose. The passport / document will not be handed over without original Identity proof* Applicants Signature BLS Reference Number / Passport Number. Representative Name who will collect the Passport. Id Number of the Representative. Contact Details. Specimen Signature of the authorized representative. Please note that representative must bring the original Identity proof for verification purpose. The passport / document will not be handed over without original Identity proof* Applicants Signature BLS Reference Number / Passport Number.
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