Student Refund Direct Deposit Form

Student Accounts

Student Refund Direct Deposit

NOTE: This form is for your convenience only. You MUST print, sign, and mail the resulting form.

I (we) authorize Michigan State University to deposit excess Student Account or Fellowship stipend funds to the account at the institution indicated below and to initiate a withdrawal from the account to adjust for deposit entries made in error. I understand that if I change banks it is my responsibility to update my banking information. I also understand in order to process my direct deposit, MSU will exchange key banking information including social security number through a secure electronic transmission.

Changed Account

New Account

Last Name

First Name

Student PID

Checking

Savings

Bank Name

Bank Routing Number

Bank Account Number

Account Holder's Name

Account Holders SS#

NOTE: Clicking on Submit will not electronically submit your form. It will transfer your information to a page that you must print, sign and mail in.

MSU Controller's Office

Student Accounts

Student Refund Direct Deposit