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Direct Deposit Request

MM slash DD slash YYYY
Employee Name
Employer Address
New Financial Institution: Omaha Federal Credit Union – 3001 S 82nd Ave, Omaha, NE 68124
Omaha Federal Credit Union Routing Number: 304083309
MM slash DD slash YYYY
How Many Checking Accounts?
Number of Savings Account
I hereby authorize and request the employer (named above) to deposit the amounts indicated and deposit these funds at Omaha Federal Credit Union for each payroll period following receipt of this Authorization until further notice from me. If this is a change in a previous Authorization, I instruct my Employer to cancel my previous Authorization and to follow this Authorization.
If I fail to cancel this Authorization upon filing for Bankruptcy, my Employer and the Credit Union are directed to make deductions in accordance with this Authorization.
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MM slash DD slash YYYY
402-399-9001 – 800-660-7350 3001 S 82nd Ave, Omaha, NE 68124 www.omahafcu.org
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© 2023 Omaha Federal Credit Union,
Omaha, NE

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