Authorization For Direct Deposits

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Authorization for Direct Deposits – Employee Form
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
.
NOTE: Enter your company name in the space above.
Account #1
ACCOUNT TYPE (e.g. Checking or
_________________________________________________________
Savings)
EMPLOYEE BANK NAME
_________________________________________________________
BRANCH
_________________________________________________________
CITY, STATE
_________________________________________________________
ACCOUNT NUMBER
_________________________________________________________
BANK ROUTING NUMBER (ABA#) _________________________________________________________
Account #2
ACCOUNT TYPE (e.g. Checking or
_________________________________________________________
Savings)
EMPLOYEE BANK NAME
_________________________________________________________
BRANCH
_________________________________________________________
CITY, STATE
_________________________________________________________
ACCOUNT NUMBER
_________________________________________________________
BANK ROUTING NUMBER (ABA#) _________________________________________________________
This authorization will be in effect until the company receives termination notice from myself and has a
reasonable opportunity to act on it.
____________________________________________________________________
SIGNATURE
____________________________________________________________________
PRINTED NAME
_____________________________________________
EMPLOYEE ID #
_____________________________________________
DATE
IMPORTANT: Enter the employee’s bank account and routing numbers into QuickBooks. To do this, click the Direct
Deposit button on the Payroll and Compensation Info tab for each employee.
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 QuickBooks Direct Deposit.

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