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Direct Deposit Authorization

This direct deposit authorization form requests the employee's personal information such as name, address, bank account number and routing number. It allows the company to directly deposit the employee's paycheck into their bank account, either as a fixed amount or as a percentage or their entire paycheck. The employee must sign and date the form to authorize the company to make direct deposits.

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HarshavardhanReddyK
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369 views1 page

Direct Deposit Authorization

This direct deposit authorization form requests the employee's personal information such as name, address, bank account number and routing number. It allows the company to directly deposit the employee's paycheck into their bank account, either as a fixed amount or as a percentage or their entire paycheck. The employee must sign and date the form to authorize the company to make direct deposits.

Uploaded by

HarshavardhanReddyK
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Direct Deposit Authorization Form

Please print and complete ALL the information below.


Name:

____________________________________________________________

Address:

____________________________________________________________

City, State, Zip:

____________________________________________________________

Name of Bank:

____________________________________________________________

Account #:

____________________________________________________________

9-Digit Routing #:

____________________________________________________________

Amount:

$ ____________

Type of Account:

Checking

Savings

____________% or Entire Paycheck


(Circle One)

Please attach a voided check for each bank account to which funds should be deposited.
[Company Name] is hereby authorized to directly deposit my pay to the account listed above.
This authorization will remain in effect until I modify or cancel it in writing.
Employee Signature: ____________________________________________________________
Date:

___________________________

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