Direct Deposit

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Enter your employee ID Number to continue.

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UserName

Employee ID Number*

Número de identificación del empleado

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Admin

You are NOT ELIGIBLE for Direct Deposit!

Make It Easy To Get Your Money—Use Direct Deposit

What is Direct Deposit?

Direct deposit is a safe, convenient and dependable way to receive your pay. Your pay is electronically

credited to your checking account on payday. Your just need to sign-up—the rest is taken care of for you.

Why Should you Consider Direct Deposit?

With direct deposit, you don’t have to wait for your paycheck to clear; you have immediate access to your

funds. What’s more, you don’t have to leave your home or office to deposit your paycheck—your money

is automatically deposited for you. And, you won’t have to worry about a lost or stolen paycheck because

the deposit is made electronically.

How Will I Know That My Money Has Been Deposited?

Your deposit will be recorded on your monthly checking account statement. You can also call your Bank’s

telephone banking number listed on your statement to verify your deposit. A pay stub will be provided

from your employer.

How Do I Sign-Up?

It is easy to sign up. Tell your Payroll Department that you would like direct deposit into your checking

account or existing account. You will need to authorize the direct deposit of your pay and supply your

account information. Please use the form below.

Yes Please*

Yes, please sign me up for direct deposit.*

Personal Information

Fill in the information below and submit it to your employer’s payroll department for direct deposit enrollment.

Employee ID*

First Name*

Last Name*

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Employee Chk

Address*

City, State, ZIP*

Employer*

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Social Security Number

Account Information

Please deposit my entire net pay into the account listed below:

Checking/Savings*

Checking

Savings

Checking Account Number:

Checking Bank Routing Number:

(Please attach voided check.)

Checking Amount

Deposit above amount into my checking.

Savings Account Number:

Savings Bank Routing Number:

Savings Amount

Deposit above amount into my savings.

Image Hopper

For existing checking accounts: Attach a personal check with the word “VOID” written in ink across the front.

I authorize my employer to deposit my paycheck each pay period directly into my account of choice. This

authority will remain in effect until I have terminated it in writing or until my employer has notified me that

this deposit service is no longer available. I understand that I must give advance notice to allow reasonable

time for making a change. I authorize my bank to honor my employer’s instructions to refund any amount

it has deposited to my account.

Signature*

Date*