Employee Update - Direct Deposit Authorization and Update Form

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Form filled out Date and time

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Date

First Name*

Last Name*

Account #1: Bank Name*

Account Type*

Bank Routing Number (ABA #)*

Bank Routing Number (ABA #)

Account Number*

Account Number

Percentage/dollar amount to be deposited to Account #1*

Percentage/dollar amount to be deposited to Account #1

Upload of Bank Account Information*

Max. file size: 500 MB.

Please upload a copy of a VOIDED check, deposit slip, or screenshot of your banking information with your bank's routing number and your account number.

Would you like to add another account? If you select yes, the remainder of your paycheck will be deposited to Account #2.

Yes

Account #2: Bank Name*

Account Type*

Bank Routing Number (ABA #)*

Bank Routing Number (ABA #)

Account Number*

Account Number

Upload of Bank Account Information*

Max. file size: 500 MB.

Please upload a copy of a VOIDED check, deposit slip, or screenshot of your banking information with your bank's routing number and your account number.

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Employee Update – Direct Deposit Authorization and Update Form

Employee Update - Direct Deposit

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