Student Financial Services

Authorization for Electronic Fund Transfer(EFT)

For additional information, you may contact or visit Student Financial Services at Kendall Hall 213, CSU, Chico, Chico, CA 95929-0242 or e-mail us at cash@csuchico.edu or you may call us at (530) 898-5936.

Instructions for Completion of This Form:

1. Carefully read the EFT Information.	2. Read the Terms of Agreement and Authorization below.
3. Print and complete this form. Make a copy for your records.	4. Sign and date the form.
5. Attach one of your pre-printed checks to the form. Write "VOID" across the check.	6. Submit the completed form, including the Terms section, to Student Financial Services.

Terms of Agreement and Authorization:

• I have read and understand the EFT Information.
  
• I understand that I am responsible, upon receiving CSU, Chico's notification of deposit, for verifying with my bank that my account has been credited. I understand that expenditures made from my account without such verification will be made at my own risk.
  
• I agree to promptly notify CSU, Chico of changes in my address or checking account status.
  
• I authorize CSU, Chico to initiate credit entries and, if necessary, to initiate debit entries and adjustments for any credit entries in error to the account specified below.
  
• I authorize the financial institution named below to process the credit and/or debit entries initiated by CSU, Chico.
  
• Prior to a refund being issued, an audit is made on the student account to verify charges and to determine the actual amount that should be refunded to the student, to finanacial aid programs, and/or to pay other University debts.