ACH Debit Form for UHS Payrolls
By signing below, you are approving this payroll
Type of Payroll:
Monthly
Monthly Supplemental
Biweekly
Pay Date:
-
Month
-
Day
Year
Select Pay Date
Gross Payroll:
Net Direct Deposit:
Net Checks:
Total Net Payroll:
Submitter First and Last Name:
*
Submitters Email:
*
example@utmck.edu
Signature of Team Member Transmitting:
*
Payroll Manager's First and Last Name:
Payroll Manager's Email:
*
example@utmck.edu
Payroll Manager's Signature:
*
Director/VP's First and Last Name:
Director/VP's Email:
example@utmck.edu
Director/VP's Signature:
Comments:
Submit
Should be Empty: