Payroll Direct Deposit Authorization

U.S. Dollar Account

"*" indicates required fields

To: American Nicaraguan School Foundation

Employee Information

Employee Name*

Employee Address*

Outside Nicaragua

Street Address City State / Province / Region ZIP / Postal Code Country

Employee Signature*

Voided Check

Attach a voided check to this Authorization form (if available).

Max. file size: 512 MB.

Account Information

Account Type*

Checking

Savings

Bank Name*

Bank Address*

Street Address City State / Province / Region ZIP / Postal Code Country

Bank Transit ABA / Swift*

Routing Number

Employee Bank Account #*

Are you a US Citizen?

Tax Forms for US Citizens Only

If you are a US citizen, you need to fill out your W4 and 673 forms. Please find the URL address for each form below. 1) Take a moment to copy/paste each URL link separately into your browser. 2) Complete the two documents digitally, and download them to your device. 3) Lastly, upload the completed tax documents to this form to complete your payroll application. If you have any questions, please reach out to Human Resources for assistance.

https://www.irs.gov/pub/irs-pdf/fw4.pdf

https://www.irs.gov/pub/irs-pdf/f673.pdf

Please upload your completed W4 here

Max. file size: 512 MB.

Please upload your completed 673 here.

Max. file size: 512 MB.