DARE to COMPARE
Direct Deposit Change Notice
I want more for my money? I'm switching to PFCU! It?s easy!
Name ________________________________________
Address ______________________________________
City State _____________________________________ _________
Zip _______________
SSN# _________________ Phone __________________
E-mail _________________________________________
Please complete a separate change notice for each direct deposit request:
-Please change my paycheck
Send to your employer for processing
Please change my:
- Social Security
- Social Security
- Supplemental Security Income
- Railroad Retirement Annuity
- Railroad Unemployment / Sickness
- VA Compensation or Pension
- Civil Service retirement
- Civil Service Survivor Annuity
Send to PFCU for processing
Please change other
_________________________________________________
(Name of Company)
Send to company for processing
To: Patriot Federal Credit Union
P.O. Box 778 Chambersburg, PA 17201
Telephone: 717-263-4444
PFCU Account No.___________________
- Checking - Savings
PFCU Routing No.: 231379979
I hereby authorize _________________________________________
(Name of Company)
to initiate credit entries and to initiate, if necessary, debit or credit adjustments for any credit entries made in error to my account. I also authorize the Credit Union to credit and or debit the same to my account.
Effective Date ____________________________________
Signature ________________________________________
Today's Date ____________________________________
If you need additional copies for multiple direct deposits, please let us know.