Direct Deposit Form

(Click Here For Direct Deposit Instructions)

Please print,  complete, and give to your Human Resources/Payroll Department.

_________________________________________________________________

Please re-route my direct deposit per my instructions.

Current Financial Institution ____________________________________

Checking/Savings Account Number _____________________________

Names(s) on Account ________________________________________

Address ___________________________________________________

City ________________________  State _______________ Zip ______

Daytime Phone (_____)_____________________

Last Four Digits of Social Security Number _______________________

I authorize my direct deposit to be routed to: Desert Energy Credit Union, PO Box 26768 Tucson, AZ 85726-6768, (520)745-6488, Routing Number: 322174928.

Desert Energy Credit Union Account Number ___________________

Checking or Savings Account ________________________________

Authorized Signature _______________________________________ Date ____________

Authorized Signature _______________________________________ Date ____________

Please contact your employer for specific requirements regarding Direct Deposit changes.