Direct Deposit Intuit QuickBooks Payroll

Direct Deposit Form

Intuit QuickBooks Payroll
Employee Direct Deposit Authorization
Instructions

Employee: Fill out and return to your employer.

Employer: Save for your files only.

This document must be signed by employees requesting automatic deposit of paychecks and retained on file by the employer. Do not send this form to Intuit. Employees must attach a voided check for each of their accounts to help verify their account numbers and bank routing numbers.
Choose the Out-U-Go! you'll be working for*
Bank Account Name (account #1)*
Bank Account Type (account #1)*

CheckingSavings
Bank Routing Number (account #1)*
Bank Account Number (account #1)*
Percentage or dollar amount to be deposited to this account:*
Do you want to add a 2nd bank account

YesNo
Bank Account Name (remainder to be deposited to this account) (account #2)
Bank Account Type: (account #2)*

CheckingSavings
Bank Routing Number (account #2)*
Bank Account Number (account #2)*
Attach a voided check or bank document with routing & account #'s for each account*

Browse Files

Cancelof
attach a voided check for each account here

Authorization (enter your company name in the blank space below) This authorizes

to send credit entries (and appropriate debit and adjustment entries), electronically or by any other commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in the future (the “Account” This authorizes the financial institution holding the Account to post all such entries. I agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization will be in effect until the Company receives a written termination notice from myself and has a reasonable

Authorized signature: Employee ID #:
Authorized signature:*

Clear
Employee ID #:
Print name: Date:
Print name:*
Date:*

MonthDayYear
Date
Employee Direct Deposit Authorization Form

Ver. Authorization_for_Direct_Deposit-061812
Should be Empty:

Direct Deposit Form