Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority  

St Albans District Credit Union Ltd Registered Office: 135 Hatfield Road, St Albans, Herfordshire. AL2 4JX

Registered in England NoIP00662C



ST ALBANS DISTRICT CREDIT UNION

135 Hatfield Road, St Albans, Hertfordshire, AL1 4JX

Tel 01727 859135   office@stadcu.org   www.stadcu.org


Community Savings and Loans since 2002

AUTHORISATION TO MAKE PAYROLL DEDUCTION


Full name: …………………….…………………………… CU Number: ………………


Employer: ……………….…….……………………………………………………………………...

Payroll Number: ………………….…………..


I authorise my Employer to deduct £ ………….…………… (numbers)

…………………….………………….……….……………………………… (words)


from my pay each month and for the money to be transmitted to

St Albans District Credit Union commencing


 …………………….……..…….………………….  and then until further notice.


By signing this authorisation I agree that the Credit Union can use my Payroll Number within their IT system to help identify my account.


This authorisation supersedes any previous mandate given to the Credit Union or the Employer in respect of the same Payroll Deduction Scheme. Any subsequent change that is required to this authorisation, including cancellation, will first be communicated to the Credit Union.



Signed: …………………………………….……….…..      Date: …………………


When completed this form should be forwarded to:-

The Office Manager,

St Albans District Credit Union, 135 Hatfield Road, St Albans, AL1 4JX