Payment Authorization Form

First name

Last name

This form acknowledges that payment will be made according to the following pay schedule.

Pay cycle from 1st-15th of the month: Payroll will be processed and sent within 5 business days from the 15th.
Pay cycle from 16th-30th/31st of the month: Payroll will be processed and sent within 5 business days from the 30th/31st.

Payment will be sent as direct deposit by the end of the fifth business day after the pay cycle has ended.

Payment Method Preferred:

Zelle (provide phone #/email)

Electronic Wire (provide acct/routing)

If you selected Zelle, please enter the phone number or email associated with the account

Phone

If you selected electronic wire, please enter the account number AND routing number associated with the account.

Account #

Routing #

I (employee/contractor), hereby authorize Saint Tutoring, LLC. to send all monies acquired during each pay period to the account listed above via the payment method selected and detailed above.

Thanks for submitting!