Parent-to-Student Allowance Direct Deposit Authorization Form
Student Information
Full Name
Student ID
Email
Phone Number
Parent/Guardian Information
Full Name
Relationship
Email
Phone Number
Bank Account Information (for Deposit)
Bank Name
Account Holder Name
Routing Number
Account Number
Account Type
Checking
Savings
Allowance Details
Allowance Amount
Deposit Frequency
Weekly
Bi-Weekly
Monthly
By signing below, I authorize direct deposit of the specified allowance from parent/guardian to student as indicated above.
Parent/Guardian Signature
Date
Student Signature
Date