Office of Human Resources
365 Fifth Avenue
New York, NY 10016-4309
212.817.7700
HR@gc.cuny.edu
http://www.gc.cuny.edu
INSTRUCTIONS FOR SUBMITTING FORMS WITH
SENSITIVE INFORMATION
In order to protect the security of your personal information, you must adhere to the
instructions below to e-mail your documents to OHR. OHR will not accept any documents or
forms with sensitive information if they are not submitted to our office in a secure manner.
Option I: Password Protecting the Forms and Attachments
• The sender should password protect the attachment(s) and send it via email to OHR.
Please review the Adobe instructions
to add a password to PDF’s.
• The sender should send the password in a separate email to OHR and include an
alternate phone number if the number in CUNYfirst is out of service to reach the
sender.
• OHR staff will contact the sender by telephone to validate they, indeed, submitted
the form.
Option II: If you are unable to use Option I
• Please fill out the form but leave the sections that require sensitive information
blank and email it to OHR from your GC email account. Please add the best number
to reach you in the body of your email.
• OHR staff will call you on the telephone number on record in CUNYfirst to receive
your sensitive information and include that information on the form you submitted
before processing the request.
pg. 1
Guide to Completing the AC-2772 Direct Deposit Form
for NYS Employees
If you are an employee of NYS and would like to begin direct deposit or modify how your funds are distributed, you must
complete the DIRECT DEPOSIT FORM FOR NYS EMPLOYEES – Form AC-2772. Below are guidelines to follow when
completing the form.
Section A:
Section A must be completed in its entirety with your personal information. This will be used by the agency to help
verify your identity and insure your account information is added to the correct payroll record.
Section B and Section C:
Sections B and C must be filled out with your bank information. Examples are provided below demonstrating how to
complete these sections for different types of direct deposit transactions and combinations of transactions.
Example 1 – Entire Check into 1 Account:
I want my entire paycheck deposited into my checking account.
Complete the following information in Section B:
Action: New
Type: Checking
Account #: Your checking account number
Routing #: Your 9 digit bank routing number
Financial Institution: Name of your Bank
Example 2 – Entire Check into Multiple Accounts (Percentage):
I want 10% of my paycheck deposited into my savings account at Bank 1, 15% into my checking account at Bank 2, and
the remainder deposited into my checking account at Bank 1.
pg. 2
Complete the following information in Section B:
Action: New
Type: Checking
Account #: Your checking account number
Routing #: Your 9 digit bank routing number for Bank 1
Financial Institution: Name of Bank 1
Complete the following information in Section C:
Deposit Order - 1 (first priority deposit):
Action: Add
Type: Savings
Account #: Your savings account number
Routing #: Your 9 digit bank routing number for Bank 1
Financial Institution: Name of Bank 1
Distribution (%): 10
Deposit Order - 2 (second priority deposit):
Action: Add
Type: Checking
Account #: Your Checking Account Number
Routing #: Your 9 digit bank routing number for Bank 2
Financial Institution: Name of Bank 2
Distribution (%): 15
Direct Deposit Distributions would be as follows:
$1000 Net Pay:
Deposit Order – 1 = $100
Deposit Order – 2 = $150
Balance Account = $750
pg. 3
$450 Net Pay:
Deposit Order – 1 = $45
Deposit Order – 2 = $67.50
Balance Account = $337.50
Example 3 - Entire Check Multiple Accounts (Amount):
I want $200 of my paycheck deposited into my savings at Bank 1, $600 into my checking at Bank 1, and the remainder
deposited into my checking account at Bank 2.
Complete the following information in Section B:
Action: New
Type: Checking
Account #: Your Checking Account Number at Bank 2
Routing #: 9 digit bank routing number for Bank 2
Financial Institution: Name of Bank 2
Complete the following information in Section C:
Deposit Order - 1 (first priority deposit):
Action: Add
Type: Savings
Account #: Your Savings Account Number at Bank 1
Routing #: 9 digit bank routing number for Bank 1
Financial Institution: Name of Bank 1
Distribution ($): 200
pg. 4
Deposit Order - 2 (second priority deposit):
Action: Add
Type: Checking
Account #: Your Checking Account Number at Bank 1
Routing #: 9 digit bank routing number for Bank 1
Financial Institution: Name of Bank 1
Distribution ($): 600
Direct Deposit Distributions would be as follows:
$1000 Net Pay:
Deposit Order – 1 = $200
Deposit Order – 2 = $600
Balance Account = $200
$450 Net Pay:
Deposit Order – 1 = $200
Deposit Order – 2 = $250
Balance Account = $0
Example 4 - Entire Check Multiple Accounts (Amount/Percent):
I want $300 of my paycheck deposited into my savings at Bank 1, 50% into my checking at Bank 1, and the remainder
deposited into my checking account at Bank 2.
Note: All percentage deductions are calculated on the Net Pay. Therefore, no money will be deposited into the balance
account until the Net Pay is greater than $600 ($300 + 50%) to cover the first two deposits.
Complete the following information in Section B:
Action: New
Type: Checking
Account #: Your Checking Account Number at Bank 2
Routing #: 9 digit bank routing number for Bank 2
Financial Institution: Name of Bank 2
pg. 5
Complete the following information in Section C:
Deposit Order - 1 (first priority deposit):
Action: Add
Type: Savings
Account #: Your Savings Account Number at Bank 1
Routing #: 9 digit bank routing number for Bank 1
Financial Institution: Name of Bank 1
Distribution ($): 300
Deposit Order - 2 (second priority deposit):
Action: Add
Type: Checking
Account #: Your Checking Account Number at Bank 1
Routing #: 9 digit bank routing number for Bank 1
Financial Institution: Name of Bank 1
Distribution (%): 50
Direct Deposit Distributions would be as follows:
$1000 Net Pay:
Deposit Order – 1 = $300
Deposit Order – 2 = $500
Balance Account = $200
$450 Net Pay:
Deposit Order – 1 = $300
Deposit Order – 2 = $150
Balance Account = $0
Section D:
This section should be checked only if your agency participates in NYSPO and you would like to view your direct deposit
information in NYSPO and stop receiving your printed advice.
Section E:
This section must be signed by you and any joint account holders.
Memorandum
To:
From:
Re:
All Participants on Direct Deposit
David Boxill,
Executive Director of Human Resources
Direct Deposit Stub (Advice)
Effective with paychecks dated April 9, 2020 all employees on State payroll who have
direct deposit will automatically be enrolled in the Direct Deposit Advice Direct Mail
Program until further notice. The Office of the State Comptroller (OSC) will begin
mailing all employee direct deposit advices (stubs) directly to employees. This will
reduce employee interactions on payday and help us all manage potential COVID-19
exposure to all staff.
Employees not on direct deposit, the treasury intends to begin mailing paper paychecks
directly to employees the week of March 23rd.
We are encouraging you to:
1) Verify with the payroll office that your address is correct, if changed, please send
change of address to payroll as soon as possible which can be found on the link below.
2) Sign up for Direct Deposit if you have not, see link below. Note: all direct deposit sent
online must be password protected.
Revised 3/23/2020
ane of ddress orm
Direct Deosit orm for  Emloees  
Revised 9/2017
Addendum
Direct Deposit of Salary Enrollment Form
Authorization for Cancellation
In additional to the cancellation terms specified on the back of the ‘Direct
Deposit of Salary Enrollment Form’, the agreement represented by this
authorization may be cancelled by providing the employee with a written
notice 10 working days in advance of the cancellation date.
A cancellation does not take effect until the State Comptroller’s Office is
notified.
Print Name: ___________________________________________
Signature: ____________________________________________
Date: ______________________
This form must be signed and attached to the Direct Deposit of Salary
Enrollment form.
DIRECT DEPOSIT FORM FOR NYS EMPLOYEES
RETURN COMPLETED FORM TO YOUR AGENCY/DEPARTMENT PAYROLL OR PERSONNEL OFFICE AC 2772 (REV 01/2021)
Page 1 of 2
SECTION A: EMPLOYEE INFORMATION (REQUIRED)
NAME (LAST, FIRST, MI)
N
LAST 4 SSN
PHONE (AREA CODE + PHONE NUMBER)
WORK EMAIL
HOME ADDRESS (STREET, CITY, STATE, ZIP CODE)
SECTION C: ADDITIONAL ACCOUNT INFORMATION (OPTIONAL)
Up to seven
fixed amount or percentage deposits may be processed in addition to the balance account listed in Section B. The
employee’s name
must appear on the account(s). A voided check or written verification from the financial institution showing the account
number, routing number, and name(s) on the account must accompany this form for each account listed.
DEPOSIT ORDER-1
ACTION Add
Change Distribution Add/Change Joint Account Holder Cancel
TYPE
Checking
Savings
ACCOUNT # ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION $_____
________ %
DEPOSIT ORDER-2
ACTION Add
Change Distribution Add/Change Joint Account Holder Cancel
TYPE
Checking
Savings
ACCOUNT # ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION $________
________%
DEPOSIT ORDER-3
ACTION Add
Change Distribution Add/Change Joint Account Holder Cancel
TYPE
Checking
Savings
ACCOUNT # ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION
$________
________%
DEPOSIT ORDER-4
ACTION Add
Change Distribution Add/Change Joint Account Holder Cancel
TYPE Checking
Savings
ACCOUNT #: ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION $________
or ________%
DEPOSIT ORDER-5
ACTION Add
Change Distribution Add/Change Joint Account Holder Cancel
TYPE
Checking
Savings
ACCOUNT # ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION $________
or ________%
DEPOSIT ORDER-6
ACTION Add
Change Distribution Add/Change Joint Account Holder Cancel
TYPE
Checking
Savings
ACCOUNT # ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION $________
or ________%
DEPOSIT ORDER-7
ACTION Add
Change Distribution Add/Change Joint Account Holder Cancel
TYPE Checking
Savings
ACCOUNT # ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION $________
or ________%
SECTION B: BALANCE ACCOUNT INFORMATION (REQUIRED)
Participating in full Direct Deposit requires one balance account; this account will receive any excess of funds after all other distributions
are deposited as indicated. The
balance account designated will be last in the deposit order. Non-payroll amounts, such as travel
reimbursements, will be deposited in
the balance account. If no other accounts are listed, the full net pay will be deposited into the
balance account.
The employee’s name must appear on the account. A voided check or written verification from the financial institution
showing the acc
ount number, routing number, and name(s) on the account must accompany this form for the balance account.
BALANCE ACCOUNT (REQUIRED)
ACTION New Change Account Add/Change Joint Account Holder
TYPE Checking Savings ACCOUNT # ROUTING #
FINANCIAL INSTITUTION
DISTRIBUTION Excess
or
or
or
DIRECT DEPOSIT FORM FOR NYS EMPLOYEES
RETURN COMPLETED FORM TO YOUR AGENCY/DEPARTMENT PAYROLL OR PERSONNEL OFFICE AC 2772 (REV 01/2021)
Page 2 of 2
SECTION D: DIRECT DEPOSIT STATEMENT OPTIONS (OPTIONAL)
Check the box to opt out of receiving a printed copy of your direct deposit pay stub:
*Go Paperless
is only provided to agencies enrolled in NYSPO. Contact your payroll officer or Human Resources office to determine
whether your agency is enrolled in NYSPO.
SECTION E: AUTHORIZATION (REQUIRED)
The joint account holder for accounts listed in Sections B and C, if any, must sign on the corresponding line for new/additional accounts
or changes in account holder(s). By signing this form, the employee and any joint account holder allows the State, through th
e financial
institution, to debit the account in order to recover
any salary to which the employee was not entitled or that was deposited to the account
in error. This means of recovery shall not prevent the State from utilizing any other lawful means to retrieve salary payments to which
the employee is not e
ntitled.
BALANCE ACCOUNT JOINT ACCOUNT HOLDER DATE
DEPOSIT ORDER-1 JOINT ACCOUNT HOLDER DATE
DEPOSIT ORDER-2 JOINT ACCOUNT HOLDER DATE
DEPOSIT ORDER-3 JOINT ACCOUNT HOLDER DATE
DEPOSIT ORDER-4 JOINT ACCOUNT HOLDER DATE
DEPOSIT ORDER-5 JOINT ACCOUNT HOLDER DATE
DEPOSIT ORDER-6 JOINT ACCOUNT HOLDER DATE
DEPOSIT ORDER-7 JOINT ACCOUNT HOLDER DATE
I certify that I read and understand the instructions to this form, including the authorization for recovery. In signing this form,
I authorize   my NYS salary payment to be sent to the designated financial institution(s) to be deposited into the
specified account(s), and all non-payroll amounts due to me to be sent to the designated financial institution to be deposited into the
balance account designated. I understand that this form supersedes any previous elections I have made, and that changes may
take up to two payroll periods to become effective.
EMPLOYEE SIGNATURE ________________________________________________________ DATE ____________________
CANCELLATIONS
The agreement represented by this authorization will remain in effect until canceled by the employee, the financial institution, or the
State agency. Employees should maintain accounts canceled and replaced by new accounts until the new transaction is complete. If
canceled accounts are not temporarily maintained until the new account receives the employee’s direct deposit transaction, employees
may experience a delay in payments. The financial institution may cancel the agreement by providing the employee and the State
agency with a written notice 30 days in advance of the cancellation date. The financial institution cannot cancel the authorization without
notification to both the employee and the State agency. The State agency may cancel an employee’s direct deposits when internal
control policies would be compromised by this form of salary payment.
NEW YORK STATE PERSONAL PRIVACY LAW NOTIFICATION
The New York State Office of the State Comptroller Bureau of State Payroll Services requests personal information on this form to
operate the New York State Direct Deposit/Electronic Funds Transfer Program. This information is being requested pursuant to State
Finance Law §200(4) and Part 102 of Title 2 of the New York Codes, Rules and Regulations. The information will be provided to the
designated financial institution(s) and/or their agent(s) for the purpose of processing payments, and for other official business of the
Office of the State Comptroller. No further disclosure of this information will be made unless such disclosure is authorized or required
by law. An employee’s failure to provide the requested information may delay or prevent the receipt of payments through the Direct
Deposit/Electronic Funds Transfer Program. The information provided will be maintained in the State Payroll System under the direction
of the Bureau of State Payroll Services.
Go Paperless* - I do not want a printed copy of my Direct Deposit pay stub sent to me. I understand that I will not receive a
printed copy of my Direct Deposit pay stub. I understand that I can view and print my electronic pay stubs as well as
change my Direct Deposit statement option with NYS Payroll Online (NYSPO): 