Direct Deposit Authorization

The document is a Direct Deposit Authorization Form for employees to provide their banking information for direct deposit of paychecks. It requires personal details, bank information, and the amount to be deposited. Employees must sign and date the form to authorize the direct deposit arrangement.

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Direct Deposit Authorization

Uploaded by

teddyviper0

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19750 S. Vermont Ave. Ste 112 Torrance, CA 90502 Tel: (310) 667-5160 FAX: (310) 667-5166

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: ◻ $ ◻ % or ◻ Entire Paycheck

Type of Account: Checking Savings (Circle One)

Please attach a voided check for each bank account to which funds should be deposited.

[3PLUS LOGISTICS CO.] 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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Direct Deposit Authorization

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Direct Deposit Authorization

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​

City, State, Zip:​ ____________________________________________________________

Name of Bank: ​ ____________________________________________________________

9-Digit Routing #: ​ ____________________________________________________________

Amount: ​ ​ ◻ $ ____________ ◻ ____________% or ◻ Entire Paycheck

Employee Signature: ​____________________________________________________________

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City, State, Zip: ____________________________________________________________

Name of Bank: ____________________________________________________________

9-Digit Routing #: ____________________________________________________________

Amount: ◻ $ ◻ % or ◻ Entire Paycheck

Employee Signature: ____________________________________________________________