Direct Deposit Employee Signup Form
Employee-Required Information
Employee Name______________________________
Social Security No__ __ __/__ __/__ __ __ __
Employee Signature__________________________________
Date__ __/__ __/__ __
Complete for Direct Deposit
I would like my wages/salary deposited to the following bank account(s):
Bank Account #1
    Checking
    Savings
Bank Name:____________________________________
I wish to deposit (check one):
    Entire Net Pay
    ____% of Net
    Specific Dollar Amount $_____.00
Please attach one of the following (Check one):
    Voided Check
    Bank letter or specification Sheet
I would like my wages/salary deposited to the following bank account(s):
Bank Account #2
    Checking
    Savings
Bank Name:____________________________________
I wish to deposit (check one):
    Entire Net Pay
    ____% of Net
    Specific Dollar Amount $_____.00
Please attach one of the following (Check one):
    Voided Check
    Bank letter or specification Sheet