LEHMAN COLLEGE
THE
CITY UNIVERSITY OF NEW YORK
Office of the Business
Manager/Bursar
250
Bedford Park Boulevard West
Bronx,
New York 10468-1589
(718) 960-8573
FAX (718) 960-7258
AUTHORIZATION
FOR RELEASE OF PAYCHECK
I
AUTHORIZE THE RELEASE OF MY PAYCHECK (ALSO ATTACH A PHOTOCOPY OF PHOTO
I.D.):
TO:___________________________________________
DATE
OF CHECK:_______________________________
PRINT
NAME:__________________________________
SIGNATURE:___________________________________
SOCIAL
SECURITY NUMBER:_____________________
TODAY’S
DATE:________________________________
PLEASE
BE SURE TO PRESENT A VALID LEHMAN COLLEGE I.D. WHEN PICKING UP ALL CHECKS.
THANK YOU.