Direct Deposit Form - Iq Resource Group

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D I R E C T D E P O S I T F O R M
Direct deposit will result in the funds being available on Fridays without delay. An employee
who cancels a direct deposit election will revert to the mailing or delivery procedure. Employees
should provide three weeks notice of bank account changes.
To select the direct deposit option, please fill out and return the form below. YOU MUST
PROVIDE A VOIDED CHECK if depositing into CHECKING account or ACCOUNT
VERIFICATION LETTER from your bank if depositing into SAVINGS account.
Processing will take approximately three weeks.
Detach & mail to:
IQ Resource Group
1365 North Rd. Suite B
Green Bay, WI 54313
Fax 920-430-9685
Name
Bank:
Address
Account #:
Street
Apt
Routing #:
City
State
Zip
(Required for both checking & savings) (9 digits)
Phone #:
Checking
Savings
IQ Resource Group emails direct deposit vouchers each week. Please provide us with an
email address below where you would like to have your voucher sent to each week.
Email Address: __________________________________________________________
To Payroll Dept: Please process my direct deposit request. I have enclosed the proper
documentation to support my direct deposit decision. I understand that canceling this
direct deposit request will result in all future checks being delivered according to one of the
three options listed in the paragraph above.
Employee Signature
Date

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