Save Time with Direct Deposit (PDF)

Save Time with Direct Deposit

Complete this form, take it to your employer¡¯s payroll department and get your paychecks deposited directly into

your account.

Name

Address

City

State

ZIP code

If you wish to set up or transfer direct deposit of income from investments, pension/retirement plans, interest or

dividends, complete the below fields and mail it to your company.

Company name

Account # or Customer ID #

Social Security number (XXX-XX-XXX)

Company address

Account type:

Checking

City

State

ZIP code

Savings

Chase routing number

Chase account number

You can find your account and routing numbers when you sign in to :

? Click on the last four digits of your account number that appear above your account information, or

? Select the ¡°Account & routing number PDF¡± from the ¡°Things you can do¡± menu.

I authorize ____________________ (name of business) and my bank to automatically deposit my paycheck into my

account listed above (this includes my authorization to correct entries made in error). This authorization will remain

in effect until I give written notice to cancel it.

Customer signature

Member FDIC JPMorgan Chase & Co.

Date

2018

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