REQUIREMENTS: Please attach one of the following for each direct deposit that
must be in your name.
For a Checking* Account: a copy of a voided check for each bank account to
which funds should be deposited. Check must contain preprinted name and address information.
For a Savings** Account: a bank verification letter stating: your name, routing
number, and account number.
Funds transferred by electronic transmission normally post to an account in two to three business days after the
payroll is processed. Leased employee remains responsible for verifying that the funds are deposited, clear, and
available prior to writing checks or debiting account.
I hereby authorize and grant my employer the right to initiate credit entries to my account with the financial
institution named above, and to correct any electronic funds transfer, resulting from an erroneous overpayment, by
debiting my account to the extent of such overpayment. In the event this Direct Deposit Authorization form is
incomplete or contains incorrect information, I understand a check will be issued to my address of record.