Employee Direct Deposit Form printable pdf download

Employee Direct Deposit Form

EMPLOYEE DIRECT DEPOSIT FORM

______________________________

EMPLOYEE NAME

I would like my wages deposited to the following bank account(s):

(Please attach ONLY a void check or bank letter- deposit slips not accepted)

Checking

_____

Bank Name___________________________________________________

I wish to deposit (please check one):

________Entire Net Pay

________Specific Dollar Amount $_______.00 (per pay period)

Checking

_____

Bank Name___________________________________________________

I wish to deposit (please check one):

________Entire Net Pay

________Specific Dollar Amount $_______.00 (per pay period)

(ATTACH VOIDED CHECK HERE FOR

CHECKING ACCOUNT)

Savings

_____

Bank Name__________________________________________________

(Please attach ONLY a bank letter stating Account # and Routing # – deposit slips NOT

accepted for Savings Accounts)

I wish to deposit (please check one):

________Entire Net Pay

________Specific Dollar Amount $_______.00 (per pay period)

SIGNATURE______________________________________DATE______________

Employee Direct Deposit Form