Weleetka Public Schools - Direct Deposit Authorization Form

Please send a picture or .pdf copy of a voided check from your checking account and/or a deposit slip for your savings account, whichever is applicable, to kmoore@weleetka.k12.ok.us, or text a picture to (918) 652-1242. (The details from the check/deposit slip will be used to verify the account details.)

Please Fill Out The Direct Deposit Authorization Form Below

Check one of the following:

Reaquired field: Start

Reaquired field: Stop

Reaquired field: Changing Account

Effective Date (check only one):

Reaquired field: As Soon As Possible

Reaquired field: Other

Employee First and Last Name

Bank / Financial Institution Name

Please check the applicable option:

Reaquired field: Checking

Reaquired field: Savings

Routing Number (must be 9 numbers)

Account Number

Signature

Date

Email a copy to

optional

Required Fields