» Direct Deposit Authorization Forms

Direct Deposit Authorization Forms

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A direct deposit authorization form is a document that authorizes a third (3rd) party, usually an employer for payroll, to send money to a bank account by simply using the ABA routing and account numbers. Sometimes the employer will require a voided check to ensure that the account is valid. Once the form has been completed by the account holder is will need to be signed and returned to the employer, in which afterwards, payroll funds will typically follow suit.

Specific Banks/Types

How to Write

Step 1 – Fill in your Full Name on the first Line. Then, utilizing the next two lines, report your Complete Address.

Step 2 – You will need to report the Name of your Bank on the first line. Then, enter your Account Number on the appropriately labeled blank line. Finally, locate the 9 Digit Routing Number on your personal check and enter it on the blank line labeled “9-Digit Routing #.”


Step 3 – Select the type of Account you would like the deposit to be made to by filling in one of the check boxes. You may choose “Checking” or “Savings.” You will need to attach a voided check for each Account being linked to the Direct Deposit action.

Step 4 – On the blank line preceding the words “Company Name,” report the Name of the Company you are authorizing to make deposits to your account.

Step 5 – Sign your Name after the words “Employee’s Signature,” then provide the Date you signed this on the blank line directly below this.


Step 6 – Submit this form to your Employer’s Payroll or Human Resources Department. Make sure, you are submitting it to the proper office.



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