Sam Houston State University A Member of The Texas State University System Payroll Office PO Box 202 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name in the designated field. Ensure that you print your name clearly for accurate processing.
3. Next, specify the effective payroll date. This is crucial for ensuring your direct deposit starts on time.
4. Provide your Sam ID or Social Security Number in the appropriate section to verify your identity.
5. Fill in your department information and contact details, including phone number and email address, to facilitate communication.
6. Indicate whether you are requesting a new direct deposit setup or changing existing information by checking the relevant box.
7. Complete the bank or credit union details, including name, branch, address, city/state/zip code, routing number, and account number.
8. Select the type of account (checking or savings) by marking the appropriate box.
9. Sign and date the form at the bottom to authorize Sam Houston State University to process your request.
10. If you prefer not to use direct deposit, check that option and provide a signature and date as well.

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