First Energy Form 91 PDF Details

In today's fast-paced world, where convenience and efficiency are valued more than ever, many organizations are adopting digital mechanisms to streamline their operations, and FirstEnergy Corp. is no exception. The introduction of the FirstEnergy Direct Deposit Authorization - Paycheck and Expense Reimbursements Form 91, revised in August 2012, embodies this shift towards digital solutions. This form serves as a critical tool for FirstEnergy employees, allowing them to facilitate the direct deposit of their paychecks and expense reimbursements into their bank accounts, thereby eliminating the need for physical checks. Notably, the form affords employees the flexibility to designate their deposits to checking or savings accounts across different financial institutions. Additionally, it comes with an option for international employees to have their payrolls forwarded to a bank in another country, providing a layer of convenience for a diverse workforce. To ensure accuracy and security, the form mandates the provision of detailed account information, including routing and account numbers, and requires a voided check for verification purposes. Moreover, the process of modification or cancellation of this authorization is straightforward, requiring only written notification from the employee to effect such changes. With its comprehensive yet user-friendly design, the FirstEnergy Direct Deposit Authorization Form signifies a step forward in making financial transactions more seamless for employees, thereby contributing to the overall efficiency of payroll services within the organization.

QuestionAnswer
Form NameFirst Energy Form 91
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names91 direct authorization fill, firstenergy paycheck online, firstenergy paycheck expense, firstenergy authorization paycheck reimbursements

Form Preview Example

FirstEnergy

DIRECT DEPOSIT AUTHORIZATION - PAYCHECK AND EXPENSE REIMBURSEMENTS

FORM 91 (REV. 08-12) Page 1 of 2

EMPLOYEE NAME

SAP NO.

DAYTIME PHONE NO.

LOCATION

CHECK ONE

WEEKLY

BI-WEEKLY

AUTHORIZATION AGREEMENT

I authorize FirstEnergy Corp. to initiate credit entries and to initiate, if necessary, debit entries and adjustments for any credit entries made in error to the account(s) listed below.

For verification of my bank account information, I have attached a voided check (not a deposit slip), a photocopy of a check, or I have contacted my financial institution for the correct routing number and account number.

This authorization will remain in effect until my written notification of cancellation or change is received. Direct deposit authorizations will be effective as soon as reasonably possible following receipt by Payroll Services.

PRIMARY ACCOUNT INFORMATION

NEW

CHANGE IN EXISTING

CANCEL

FINANCIAL INSTITUTION NAME

CHECKING

SAVINGS

ROUTING NO.

ACCOUNT NO.

EXPENSE REIMBURSEMENT ACCOUNT INFORMATION

NEW

CHANGE IN EXISTING

CANCEL

SAME AS PRIMARY ACCOUNT INFORMATION

FINANCIAL INSTITUTION NAME

CHECKING

SAVINGS

ROUTING NO.

ACCOUNT NO.

OTHER ACCOUNT INFORMATION

NEW

CHANGE IN EXISTING

CANCEL

 

 

 

 

 

 

FINANCIAL INSTITUTION NAME

 

 

CHECKING

FLAT AMOUNT

 

 

 

SAVINGS

$

 

 

 

 

 

ROUTING NO.

 

ACCOUNT NO.

 

 

 

 

 

 

 

OTHER ACCOUNT INFORMATION

 

NEW

CHANGE IN EXISTING

CANCEL

 

 

 

 

 

 

FINANCIAL INSTITUTION NAME

 

 

CHECKING

FLAT AMOUNT

 

 

 

SAVINGS

$

 

 

 

 

 

ROUTING NO.

 

ACCOUNT NO.

 

 

 

 

 

 

 

OTHER ACCOUNT INFORMATION

 

NEW

CHANGE IN EXISTING

CANCEL

 

 

 

 

 

 

FINANCIAL INSTITUTION NAME

 

 

CHECKING

FLAT AMOUNT

 

 

 

SAVINGS

$

 

 

 

 

 

ROUTING NO.

 

ACCOUNT NO.

 

 

 

 

 

 

 

CHECK HERE IF YOU RECEIVE YOUR PAYROLL VIA DIRECT DEPOSIT AT A U.S. FINANCIAL INSTITUTION AND HAVE THE ENTIRE AMOUNT FORWARDED TO A BANK IN ANOTHER COUNTRY.

SIGNATURE

DATE

Send completed form and a voided check (not a deposit slip) to Payroll Services at J-JOHN or Fax form to 814-534-4083 (400-4083)

DATE RECEIVED

FOR PAYROLL SERVICES USE ONLY

DATE ENTERED

ENTERED BY

 

 

FirstEnergy

DIRECT DEPOSIT AUTHORIZATION - PAYCHECK AND EXPENSE REIMBURSEMENTS

FORM 91 (REV. 08-12) Page 2 of 2

How to Complete the Direct Deposit Authorization Form

1.Complete Employee information

2.Read Authorization Agreement

3.Complete Primary/Expense Reimbursement/Other Account Information

Tips for Completing the Account Information

Select type of authorization (New, Change, Cancel)

Enter name of the Financial Institution for each account

Select type of account (Checking or Savings)

Enter Flat Amount if Other Account

Enter 9 digit Bank Routing Number (see example below)

Enter Bank Account Number (see example below)

Note: Verify the Bank Routing Number and Bank Account Number with your Financial Institution

4.Sign and Date the form

5.Attach a voided check or a photocopy of a check (not a deposit slip)

6.Send completed form to:

Payroll Services at J-JOHN or Fax form to 814-534-4083 (400-4083)