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Direct Deposit Authorization Form Company Information. Employee Information. Bank Account Information. I hereby authorize Statement. Employee Signature and Date. Space for Attached Physical Check (Optional)
I authorize [Your Company Name] to initiate electronic deposits of my net pay into the bank account specified above. I understand that this authorization will remain in effect until I provide written notice to revoke or change it. I acknowledge that it is my responsibility to provide accurate bank account information.
Authorization: A statement indicating that the employee authorizes your business to use their provided bank details for the purpose of depositing payments into their account. This statement should begin with I hereby authorize and include a timeframe for the authorization.
No matter what its called, most direct deposit authorization forms require the same basic information, so its good to have the following details handy: Your personal information (name and address) Bank name and routing number. Your account number.
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