Bank of America Direct Deposit Form
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Non-Federal Direct Deposit Enrollment Request Form
Authorization agreement for automatic deposits (ACH credits)
Directions for Customer Use:
1)

Ensure entire form is complete, then sign and date
Use the ABA routing number from the state where your account was opened

2)

Ensure appropriate Employer / Company address is used when mailing completed form.

3)

Employer/Company should review this form for completeness and suitability. If Employer /
Company prefers or requires their own form, use account type, number and ABA routing number below
to help complete their form

4)

Mail form directly to Employer / Company (Note: It is not necessary for employer or company to return
the form to the bank once direct deposit is set up into the payroll system)

Employer / Company Name:

_____________________________________________________

Employer Address

City

State

Zip

I (we) authorize the above named Company to initiate credit entries to my Bank of America Checking and/or
Sav