| Instructions:
Complete all information blocks with the required
information. The checking account number is 0 to 17 digits
and can be found in the middle section of your check. Write
this number from left to right in the block provided. The
checking account number will begin with two digits from
12 to 25. The bank's ABA number is 9 digits and appears
in the lower left-hand corner of your check.
Attach a preprinted check across which you have written "VOID".
Please read the following carefully:
Once your consent for direct deposit has been processed, a one-time zero ($0.00)
dollar transaction will process and may appear on your bank statement. This transaction is
a test to ensure the accuracy of the electronic deposit transaction. Your signature on
this consent form authorizes the university to apply financial aid monies to the balance
of your student account including charges left unpaid in a previous semester. Proceeds
from any financial aid award will be deposited within two (2) business days of receipt by
the university. If funds are elctronically deposited to your checking account in error,
the university can initiate a debit transaction against the account to recoup the funds.
The information provided on this form will continue to be in effect for
subsequent semester financial aid awards unless the student submits a consent form to
change enrollment. |