Enrollment for Skylight One Pay Card
Employee ID#:
Name:
Address:
I authorize County of Riverside (employer) to direct deposit my compensation
to my SkylightOne Pay Card each pay period. If funds to which I am not
entitled are deposited to my SkylightOne pay card, I authorize my employer
to direct BofI Federal Bank, issuer of the SkylightOne Pay Card, to return the
funds. I agree to comply with the Cardholder Agreement that I will receive at
the time I receive my SkylightOne Pay Card. Enrollment is optional.
Date of Birth:
Last 4 digits of SS#:
Phone Number:
Employee Signature
COMPLETE AND RETURN TO ACO PAYROLL – MAIL STOP 1160 OR FAX TO 951-955-3814
For questions – Call 951-955-3810 or email [email protected]