Direct deposit authorization form 2026

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  1. Click ‘Get Form’ to open the direct deposit authorization form in the editor.
  2. Begin by filling out your personal information in Section A. Enter your Serial Number, First Name, Middle Initial, Last Name, and Work Phone.
  3. In Section B, provide your Financial Institution Name, Routing Number (ensure it is 9 digits starting with 0, 1, 2, or 3), and Account Number. Select whether this is a New Authorization or a Cancellation.
  4. Indicate if you would like your Pay Statements sent electronically or as a hardcopy by checking the appropriate box.
  5. If including a voided check for accuracy, tape it face up in the designated area provided on the form.
  6. Finally, sign and date the form in Section C to confirm your authorization. Ensure all information is accurate before submission.

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Submission of the requested information is mandatory. Failure to submit the required information may result in CalPERS being unable to perform its functions regarding your status.
Download, print or email the form to your employer.
Direct Deposit Authorization Form. A direct deposit authorization form authorizes a third party, usually an employer for payroll, to send money to a bank account.

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