The Generic Direct Deposit Authorization Form is a simple document that allows individuals to authorize their employer or another payer to deposit funds directly into their bank account. Completing this form ensures that payments, such as salaries or reimbursements, are transferred efficiently and securely. Ready to set up your direct deposit? Fill out the form by clicking the button below.
Girlfriend Applications - A nostalgic person who loves sharing memories.
Workmanship Warranty Example - Repairs necessitated by MCS Roofing's workmanship will be completed at no cost to the homeowner.
Profits or Loss From Business - It is essential for self-employed individuals to complete Schedule C as part of their tax filings.
When setting up direct deposit, several other forms and documents often accompany the Generic Direct Deposit form. Each of these documents plays a crucial role in ensuring that the direct deposit process runs smoothly and securely. Below are some commonly used forms that you may encounter.
Understanding these documents can simplify the direct deposit setup process. Ensuring that all forms are accurately completed and submitted can help avoid delays in receiving payments. Always consult with your employer or financial institution if you have questions about any required documents.
DIRECT DEPOSIT AUTHORIZATION FORM
Fill in the boxes below and sign the form.
Last NameFirst NameM I
□□□□□□□□□□□□□□ □□□□□□□□□ □
Social Security Number
□□□- □□ - □□□□
Action
□ □
Effective Date
□New
□□ □□ □□
ChangeCancel
M onthDayYear
Work Phone
□□□-□□□-□□□□
Name of Financial Institution
□□□□□□□□□□□□□□□□□□□□□□□□□□
Account Number
(Include hyphens but omit spaces and special symbols.)
Type of Account
Savings
Checking
□□□□□□□□□□□□□□□□□
□
Routing Transit Number
□□□□□□□□□
(All 9 boxes must be filled. The first two numbers
Ownership of Account
must be 01 through 12 or 21 through 32.)
Self
Joint
Other
By signing this agreement, I authorize ____________________ to initiate credit entries to the account indicated above for the purpose of expense and/or payroll.
I also authorize ______________________________ to initiate, if necessary, debit entries and adjustments for any credit entries made in error.
Signature ____________________________________________________________________________________ Date ___________________
If the account is a joint account or in someone else's name, that individual must also agree to the terms stated above by signing below.
HOW TO COM PLETE THIS FORM
1.Fill in all boxes above.
2.Sign and date the form.
TIP
Call your financial institution to
JOHN PUBLIC
1234
make sure they will accept direct
0 deposit s.
123 MAIN STREET
19
YOUR TOWN, FL 12345
Verify your account number and
PAY TO THE
routing transit number with your
ORDER OF
0 financial institution
$
YOUR TOWN BANK
DOLLARS
Do not use a deposit slip to verify
0 the routing
number.
FOR
IRouting Transit Number
I
➤
Account
l~::::::::,(~::250000005::)•:(~:=1234556789022~):..1·___________ J
Number
NOTE: THE ACCOUNT AND ROUTING NUM BER M AY APPEAR IN DIFFERENT PLACES ON YOUR CHECK.