Direct Deposit Form

Intuit QuickBooks Payroll and/or Paychex
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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.
Account 1
CheckingSavings
Bank routing number (ABA number)
Account number
Percentage or dollar amount to be deposited to this account
Account 2 (remainder to be deposited to this account)
CheckingSavings
Bank routing number (ABA number)
Account number
Attach a voided check for each account here if possible

Cancelof
Authorization
This authorizes The PAC Program 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 opportunity to act on it.
Signature

Clear
Print name:
Date:

MonthDayYear
Employee Direct Deposit Authorization Form

Ver. Authorization_for_Direct_Deposit-061812
Should be Empty:

Intuit QuickBooks Payroll and/or Paychex

Instructions

Account 1

Account 2 (remainder to be deposited to this account)

Authorization