Save Time with Direct Deposit It’s safe, simple and it saves time. Employer Direct Deposit Sign-Up Form Take this completed form to your employer’s payroll department to request direct deposit of your payroll check. Why Direct Deposit? Customer Name It’s convenient and it saves time. Address • Your check’s automatically deposited into your account. • It eliminates a trip to the bank. • Your money is available in your account on payday. City • You’ll receive a paper voucher for your records. Zip Code Please have my payroll check automatically deposited into the following account: It’s safe and secure. • No more lost or misplaced checks. • Conﬁrm your deposit by phone or online. State Checking Account Number or Savings/MIA/Money Market Account Number Bank’s Routing Number It’s simple... here’s how. • Payroll Checks Take this completed application form to your employer’s payroll department. Include a voided check so your employer can conﬁrm your account and routing/transmit numbers. And that’s it! Your employer does the rest! • Government Checks Your Banker can sign you up today! I authorize (name of business) and my bank to automatically deposit my payroll check 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 Date ©2015 JPMorgan Chase & Co.
© Copyright 2018 AnyForm