Direct Deposit Authorization.doc - ExcelSHE
Deposit Slip
Name of Bank: ____________________________________________________________
Account #: ____________________________________________________________
9-Digit Routing #: ____________________________________________________________
Amount: ♦ $ ____________ ♦ ____________% or ♦ Entire Paycheck
Type of Account: Checking Savings (Circle One)
Please attach a voided check for each bank account to which funds should be deposited.
[Company Name] is hereby authorized to directly deposit my pay to the account listed above. This authorization will remain in effect until I modify or cancel it in writing.
Employee Signature: ____________________________________________________________
Date: ___________________________
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