First Energy Form 91 PDF Details

As of the first of this year, new requirements for reporting energy use go into effect. The new form, 91, is to be used by all entities generating 250 kw or more of electrical power. This article will outline what you need to know about this new requirement and how to complete the form. FirstEnergy has put together a helpful guide to completing the form, which can be found on their website. Completing this form is important in order for your business to receive the most accurate rate calculation and avoid any penalties. Let's take a look at what you'll need to gather before beginning the process.

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)