Pay Option Form - Peopleshare
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1Pay Option Form
Fax to (610) 326-9574 or Scan/Email to
Employee Name
XXX-XX- ___ ___ ___ ___
Last 4 Digits of Social Security #
New
Updated
Account Information is
Email Address for Pay Stubs
I would like my wages deposited into the following
:
A voided check or a print out from your bank must accompany this form
Bank Account/Direct Deposit
Checking
Savings
BANK Account Type:
BANK Routing #
(9 Digits)
BANK Account #
BANK Name
I would like my wages deposited into the following
:
An Account Information Slip must accompany this form
Money Network
0 6 7 0 1 1 2 9 4
MONEY NETWORK Routing #
MONEY NETWORK Account #
(not card number)
Employee Signature: _____________________________________________ Date: _______________
Place Voided Check/Bank Slip below line (For money Network, place Account Information slip here)
Accounting |1566 Medical Drive | Suite 320 | Pottstown, PA 19464 | (P) 610-326-6375 | (F) 610-326-9574
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Parent category: Business