Northwest Resource Federal Credit Union - Direct Deposit Change Form

		Payroll Direct Deposit Change Form

Full Name
Address
City		State Zip
Home Phone

Please change my payroll direct deposit to:
Northwest Resource Federal Credit Union TRANSIT ROUTING NUMBER: 323075563
Credit Union Account Number (6 digits)	Deposit to:	Checking	Savings

Please stop making deposits to:
Previous financial institution
Previous account number

Direct Deposit Change ONLY I hereby authorize my direct deposit to be sent to my Northwest Resource FCU account named above. This authorization is to remain in effect until the payment originator has received written notification from me of its termination in such time and manner as to afford them a reasonable opportunity to act on it.

Effective Date ____________________________________

Signature_________________________________________ Today's Date _________________

Please print and sign this completed form and return to your employer's payroll department.

Northwest Resource FCU • PO Box 2788 • Portland, OR 97208