Direct deposit enrollment - BenefitMall - Home 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the 'Payroll Manager' section. Enter your account number, company name, and the date.
  3. Read the authorization statement carefully. This is crucial as it allows BenefitMall to deposit funds into your accounts.
  4. In the 'Employee Name' field, enter your full name followed by your Social Security number.
  5. Sign and date the form at the bottom to confirm your authorization.
  6. Next, provide account information for each account you wish to enroll. Specify whether it's a checking or savings account, along with the bank name, account number, routing number, and amount to be deposited.
  7. If you have multiple accounts, repeat step 6 for each additional account.
  8. Finally, review all entries for accuracy before submitting the completed form to your payroll manager.

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