The Employee Direct Deposit Form
*required fields Note: please use your TAB key to navigate.
Employer Name *
Employee Name *
  Initial Request  Change in Banking Information  Cancellation *
BANKING INFORMATION
Note: To ensure accuracy you must mail an ORIGINAL PERSONAL VOID CHEQUE.

It is understood that:

  • This banking information will be used solely for the purpose of depositing claim reimbursements.
  • This information will be held in the file of the company for which you are employed.
  • AVP Financial Corp. reserves the right to pay employee reimbursements by cheque at any time.
  • It is the sole responsibility of the employee to ensure the accuracy of the banking information provided above.
  • Any subsequent changes in banking information must be reported in a timely fashion.
  • AVP Financial Corp. may terminate payment by Direct Deposit without prior notice or authorization from the employee.
  • If you wish to receive notification of deposit via email, please provide an email address below. Otherwise, notification will be mailed.
Employee Signature Employee Email Date

AVP Health & Welfare Trust

222, 855 - 42 Avenue SE
Calgary AB T2G 1Y8

Questions?

Call: 403.214.3213 or 888.214.3211
Toll Free Fax: 866.213.5514
E-mail: info@bizflex.ca
www.bizflex.ca