Direct Deposit Enrollment Form (Digital Version)

Direct Deposit Enrollment Form (Digital Version)
First NameLast Name
Signature *

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I understand that a direct deposit request can take up to 3 weeks to process. Please make sure you make plans to faciliate this timeline.

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Date*

MonthDayYear
Date
Which store do you work at?*
Please not that if you want to do multisplit deposits, you will need to ask your GM for the proper form.
Bank Name / City / State:*
Routing Transit #:*
Account Number: *
What kind of account?*
Picture of a Check or Bank Form to validate the above.*

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Should be Empty: