HealthCare United FCU Direct Deposit Form
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Please complete the direct deposit form and forward it to your payroll department for faster processing.
Authorization Code: New Change Cancel
 I authorize you and HealthCare United FCU to initiate electronic credit entries,
 and if necessary, debit entries and adjustments for any credit entries in error to my:
  Checking Account #    $ 
  Savings Account #    $ 
        each pay period. This authority will remain in effect until I have cancelled it in writing.
Financial Institution Information
Account Holder Information
Financial Institution: HealthCare United FCU
Name (Please print):
Address: 6701 N. Charles Street
SS#:
City, State, Zip: Baltimore, MD 21204
Signature:
Employer Name:
Date:
Address:
City, State, Zip:
252076044
TRANSIT ROUTING NUMBER (ABA)
STAPLE VOIDED CHECK HERE.