Adp Direct Deposit Form printable pdf download

DIRECT DEPOSIT FORM

Please read this form carefully and write clearly

If this is a new account you must:

1. Already have the account set up at your bank

2. Find out if the bank accepts direct deposits. Verify bank’s transit number and your

account number (including dashes).

3. Notify the bank that you are going to set up direct deposit through Payroll. Make sure

that there isn’t anything special you need to do as far as your bank is concerned.

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Please check the action and fill out the form below:

Canceling account (complete item C below). Do not close an account unless you

cancel it through Payroll first.

Direct deposit already set up, changing $ amount only (complete C through E

below).

A new account (complete A through E below).

An additional account such as savings or additional checking (complete A through E

below). (allowed up to 3 accounts total)

A new account to replace a direct deposit already set up (complete A through E

below). Which account are you replacing? ___________________

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_________________________________________________

A. Bank Name



B. Bank TBA #



C. Bank Account #



D. Checking

Savings



$_______

E. Full Deposit

Partial Deposit-Amount per Payroll:

Please return this form to the Payroll Department with a VOIDED check from your checking

account or a deposit form from your savings account.

YOUR ACCOUNT NUMBER WILL BE PRE-NOTED FOR 10 DAYS TO 2 WEEKS AFTER INPUT.

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I authorize ADP on behalf of Fab-Tech Inc. and the bank listed above to deposit my

net pay or portion thereof as indicated above into my account each payday.

If funds to which I am not entitled are deposited to my account, I authorize ADP on

behalf of Fab-Tech Inc. to direct the bank to return said funds.

I understand that my deposit may not be credited to my account until 5:00 PM on

the pay date indicated on the check voucher.

I understand that it is my responsibility to ensure that my wages are being deposited

correctly into my account each payday.

________________________________________________

Print Employee Name

________________________________________________

Employee Signature

Adp Direct Deposit Form

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