Direct Deposit Form

Direct Deposit Authorization

Employee Name*

Address

Street Address

Street Address Line 2

CityState

Zip Code

Account and Routing Numbers may be in a different order than pictured. Check with your bank to verify all numbers are correct or it could result in deposits in the wrong account.

Bank Name

9-Digit Routing Number*

Account Number*

Confirm Account Number*

The "Account Number" and "Confirm Account Number" matched.

The "Account Number" and "Confirm Account Number" didn't match. Try Again.

CheckingSavings

File Upload(VOID CHECK)

Attach VOID Check

Employee instructions for Online Access Set-up:

· Employees will receive an email from support@heartlandpayroll.com. This email will contain instructions and a link that they will need to click on to register/activate their online access.

Authorization PIN is the last 4 of their social.
The username will be the email address on file.
The client code is 0220CEFZ
The employee will create a password. Passwords must contain at least 8 characters, 1 upper case, and 1 special character (!@#$%^&*).
After the employee has completed the registration they will need to close the current browser and open a fresh browser.
Employee(s) will then go to m.heartlandcheckview.com, where they will enter their email address as the username, the password they created, and the full client code.

Employees will then be able to view and print all of their pay stubs and W-2's.

Signature*

Date