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Direct Deposit Form

This document provides instructions for employee direct deposit authorization. It explains that employees should fill out the form with their bank account information and routing numbers, attach voided checks for each account, and return the signed form to their employer to set up automatic payroll deposits. The form collects account details for up to two accounts, including type of account, routing number, account number, and deposit allocation percentage for each. It authorizes the employer to deposit payroll funds electronically into the designated bank accounts until the employee provides written notice to terminate the authorization.

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Yan Mikhlin
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455 views1 page

Direct Deposit Form

This document provides instructions for employee direct deposit authorization. It explains that employees should fill out the form with their bank account information and routing numbers, attach voided checks for each account, and return the signed form to their employer to set up automatic payroll deposits. The form collects account details for up to two accounts, including type of account, routing number, account number, and deposit allocation percentage for each. It authorizes the employer to deposit payroll funds electronically into the designated bank accounts until the employee provides written notice to terminate the authorization.

Uploaded by

Yan Mikhlin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Intuit QuickBooks Payroll

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Employee Direct Deposit Authorization
Instructions

Employee: Fill out and return to your employer.


Employer: Save for your files only.
This document must be signed by employees requesting automatic deposit of paychecks and
retained on file by the employer. Do not send this form to Intuit. Employees must attach a voided
check for each of their accounts to help verify their account numbers and bank routing numbers.
Account 1
Account 1 type: Checking Savings

Bank routing number (ABA number):

Account number:

Percentage or dollar amount to be deposited to this account:


Account 2 (remainder to be deposited to this account)
Account 2 type: Checking Savings

Bank routing number (ABA number):

Account number:

attach a voided check for each account here

Authorization (enter your company name in the blank space below)


This authorizes (the “Company”)
to send credit entries (and appropriate debit and adjustment entries), electronically or by any other
commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in
the future (the “Account”). This authorizes the financial institution holding the Account to post all such entries. I
agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization
will be in effect until the Company receives a written termination notice from myself and has a reasonable
opportunity to act on it.

Authorized signature: Employee ID #:

Print name: Date:

Employee Direct Deposit Authorization Form Ver. Authorization_for_Direct_Deposit-061812

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