Direct Deposit Info Form

Please complete this form if you have previously opted out of the student benefits plan and would like to update your direct deposit information. This will change the banking details for where your opt-out reimbursement will be deposited. Please double check the information provided below before choosing submit to ensure the account details are accurate.
First Name
Last Name
Student ID
Email
Phone Number


Required Direct Deposit Information

Please enter your financial institution's Transit Number, Institution Number, and Account Number.
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Transit #
Institution #
Account #


Terms and Conditions

Do you accept the Terms and Conditions?
Yes