Personal Information

Acount Information

Net Pay Account

First Additional Account

Second Additional Account

Third Additional Account

Dollar amounts should not exceed net pay.

I hereby authorize the Cape Elizabeth School Department to deposit my net pay each payday directly to the account(s) indicated above and to initiate, if necessary, any debits or adjustments for a direct deposit error made. I understand that it is my responsibility to check my account each pay date to ensure that money was correctly deposited. The school department will not be held liable for bank charges resulting from problems associated with direct deposit. This authority will remain in effect until a new form is filed. I understand I will receive a check until the above information is verified and processed.

Please sign your name in the box below.
Cape Elizabeth Business Office

Arlene Rochefort, Human Resources Coordinator
320 Ocean House Road
(207) 799-2217

Denise Porciello, Payroll Coordinator/Bookkeeper
320 Ocean House Road
(207) 799-2217

© 2019 Cape Elizabeth School Department - 320 Ocean House Road - Cape Elizabeth, ME 04107