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Form Name:

DIRECT DEPOSIT AUTHORIZATION

Used for:

  • Establishing direct deposit of an employee's net pay to one or two financial institutions anywhere in the United States. Institution must be a member of the ACH(Automated Clearing House).

  • Available to all Brown University employees.

  • Net pay may be split among two accounts in two different financial institutions (four distributions in total).


Required Fields:

Bank Name & Location [1]:
Full name of the first (or only) bank or financial institution, the city, state and zip code.
Bank Transit No.: Enter complete number-found on the bottom left corner of check or deposit ticket.
Checking Acct No. & Percent: Enter complete checking account number and the percent of your net pay to be deposited
Savings Acct No. & Percent: Enter complete savings account number and the percent of your net pay to be deposited..
Bank Name & Location [2]:

Enter name and location of the second bank or financial institution, if any, and information as above.
NOTE: Percentages indicated must add to 100%.
Name & Signature: Print full name, sign and date.


Documents to Attach:

Must attach a voided check and/or savings deposit slip for each account included in the distribution.


Where to Send:

Mail or bring to the Payroll Office, Box 1873, second floor of the Brown Office Building.


How to Obtain:

Forms are available in the Payroll Office. Employees can pick up at the window or call and have mailed to their departmental address.

Monthy & Semi-Monthy Direct Deposit Form

Weekly Direct Deposit Form

Student Direct Deposit Form


Special Notes:

  • You must notify Payroll immediately if changes are made in accounts. Failure to do so may affect the timing of your pay.

  • All new direct deposits or changes made must go through a "pre-note" process. This process is basically a "dry-run", made to detect any errors which may occur during actual processing.



Forms and Instructions Index

Interdepartmental Invoice - Multiple

Interdepartmental Invoice - Single

Business Meals and Hospitality

Notification of Receipt of Partial Shipment

Purchase Order - Receiving Copy

Request for Check (Check Invoice)

Guest Speaker Agreement

Wire Transfer Request

Deposit Slip

Direct Deposit Authorization

Payroll Adjustment

Salary Reallocation

Time Report - Weekly/Misc./Undergrad

Time Report - Semi-Monthly/Graduate

Travel Expense Report

Travel Advance Request

All Independent Contractor Forms

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