Key Bank Direct Deposit Authorization Form
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Direct Deposit
Sign Up Form
Complete this form to request direct deposit into your KeyBank checking or savings account.
Personal Information:

3 Easy Steps!
First Name

1

2

3

Fill-in this form online
or print it off and fill it
out.

Middle Initial

Social Security Number

Attach a voided
check to this form to
confirm your account
and routing numbers.

Address

Submit this
completed form and a
voided check to the
appropriate
department:

Phone Number

Payroll Deposits:
Forward this form to
your employer’s
payroll department.
Retirement/Annuity,
Dividend and Other
Deposits:
Follow up with your
current provider to
determine where to
forward this
document.

Last Name

City

State

Zip Code

Alternative Phone Number
Type of Deposit:
q Payroll

q Retirement/Annuity

q Dividend

q Other:

(non SSA/SSI*)

Account you would like your check automatically deposited into:

KeyBank Account Number
Select one:

q Checking

q Savings

KeyBank Routing Number

Name on the Account
I authorize (name o