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Customer Service Associate

Location:
Gary, IN
Posted:
January 19, 2023

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Resume:

FFIRMATION OF LEGAL WORK STATUS

suant to § *-*-**2, Colorado Revised Statutes

PREFERRED PAYMENT FORM

Associate Information

Name: Last 4 digits of SSN: PAYCARD - Paycard Information:

Packet ID #: (To be completed by Branch Staff) By providing the information requested above and signing below, I hereby elect and consent to receive my wages, including but not limited to off cycle wage payments and wage payments upon discharge, by electronic transfer of wages to a paycard. In addition, to the extent permitted by applicable law, I hereby authorize PeopleReady to make all of my deposits and deposit adjustments, including those involving off cycle wage payments and wage payments upon discharge, to my paycard, and I authorize the bank where such funds are deposited to accept such deposits and make such adjustments. I acknowledge I have received paycard program documents to include, but not limiting to, a copy of the terms, conditions, and fees associated with using such paycard. These documents are also available to me by visiting www.peopleready.com. I understand that I must give PeopleReady 14 days written notice in order to stop receiving my wages by paycard and begin receiving them by direct deposit. DIRECT DEPOSIT - Bank Account Information:

Account Action: New Change Delete Account Type: Checking Savings Routing #: Account #: Bank Name: Additional Information for Direct Deposit:

- Depending on your bank's processes, pay should be automatically deposited into your account (s) within 72 hours.

- It is your responsibility to notify a Branch representative of any changes to / closure of your bank account. Failure to notify the branch may delay issuance of payment.

- You must provide a voided check drawn from the account (no deposit slips) or a letter from the bank on official letterhead verifying the routing # and account #. Incomplete or inaccurate information will not be processed.

- If we are unable to process your direct deposit due to incomplete or inaccurate information, you hereby consent to be issued a paycard to receive your funds.

By providing the information requested above and signing below, I hereby elect and consent to receive my wages via direct deposit. In addition, I hereby authorize PeopleReady on its own behalf and on behalf of its direct and indirect subsidiaries and affiliates to make (electronically or otherwise) all deposits and deposit adjustments involving my pay, including those involving off cycle pay and pay upon discharge, to the account(s) identified above, and I authorize the bank(s) listed above to accept such deposits and make such adjustments. I also authorize PeopleReady, at its election, to pay any off cycle wage payments and wage payments due to me upon discharge by means of electronic transfer of funds to a paycard. I acknowledge that a copy of the terms, conditions, and fees associated with using such paycard are available at my workplace and upon request made to my manager. These authorizations will remain in effect until PeopleReady receives written notice from me terminating my authorization. By submitting this form, I understand I will receive my pay statements electronically via globalcashcard.com. I understand that I may, at any time, receive a hard (paper) copy of my pay statement by requesting one at the PeopleReady branch office. In addition, I may access the electronic paystubs by phone, email, fax, abbreviated text message, or by calling customer service directly at Global Cash Card.

I agree that any claim I may have arising out of the use of paycards, direct deposit, or electronic pay statements are subject to the arbitration provisions contained in my employment application, which includes my agreement to pursue any claims as an individual plaintiff (specifically waiving all class, representative, or collective actions) in arbitration before the American Arbitration Association. Associate Signature: Date: Branch Name & Number (ex. 1100 Kent, WA): Branch Staff Name:

(To be completed by Branch Staff)

Only applicable to those applying in: AL; AZ; CO; IA; IN; KS; KY; LA; MA; ME; MI; MO; MS; NC; ND; NE; OH; OK; SC; SD; TN; TX; UT; WA; WI; WV)

March 2022

Atrice Sanders 2707

041215663 207**********

Sutton bank

01 / 15 / 2023

Doc ID: 8a028b952ced666c4f98488ff68f3e9651635c86



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