Direct Deposit Form
Employee Name
*
Employee Email
*
example@example.com
Authorization
*
I authorize Youth Dynamics to have my salary/wages deposited to the following bank account:
Bank Name
*
Account Type:
*
Checking
Savings
Please attach one of the following (check one)
*
Voided check
Bank letter or specification sheet
Signature
*
Date
*
/
Month
/
Day
Year
Date Picker Icon
Please attach a voided check (any image file is fine)
*
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