HR 5
Government of South Australia
Bank Account Details • This form is to advise which account(s) you would like your pay to be deposited.
Use this form to indicate which account(s) your pay will be deposited.
• Your pay can be credited to any recognised bank, building society or credit union. Up to four separate accounts can be specified. • You can change this instruction at any time by completing a new form. You should not close any bank accounts until you are satisfied that your pay is being correctly credited to your new accounts. • This form must be received by Payroll Services by 5pm on the Tuesday following a pay day to be effective in the next available pay period. • If you have recently joined the Department, a Tax Declaration Form will also be required. • This form can also be used to advise of account name changes (due to marriage, for example). • Payment cannot be made by cheque.
For further information Contact Payroll Services
ph. 8462 1301 (then select 1)
1
To make sure the details are recorded correctly, follow these steps
1 2 3 4 5 6
Fill in Your Details Fill in First Account Details Fill in Second Account Details if Required Fill in Third Account Details if Required Fill in Fourth Account Details if Required Sign Authorisation
YOUR DETAILS NAME
GIVEN NAMES
LAST NAME
PREFERRED NAME
employee no
division
section/branch effective from pay period ending
2
/
/
account one financial institution
AMOUNT
branch
Total Pay
Fixed Amount $
.
bsb number
account number
account name
Page
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