Save Time with Direct Deposit
It’s safe, simple and it saves time.
Employer Direct Deposit Sign-Up Form
Take this completed form to your employer’s payroll department to request direct deposit of your payroll check.
Why Direct Deposit?
It’s convenient and it saves time.
• Your check’s automatically
deposited into your account.
• It eliminates a trip to the bank.
• Your money is available in your
account on payday.
• You’ll receive a paper voucher for
Please have my payroll check automatically deposited into the
It’s safe and secure.
• No more lost or misplaced checks.
• Conﬁrm your deposit by phone or
Checking Account Number
Savings/MIA/Money Market Account Number
Bank’s Routing Number
It’s simple... here’s how.
• Payroll Checks
Take this completed application
form to your employer’s payroll
department. Include a voided check
so your employer can conﬁrm your
account and routing/tra