Add or Update Employee/Contractor DD

1
Direct Deposit Form

This online system is used for employee or contractor payroll direct deposit.

This information must be submitted by an authorized payroll administrator. This requirement protects your church from someone trying to modify or access your payroll information without your consent.
2
Employer/Church Name
3
Worker NameWhose bank account information are we changing?
First Name
Last Name
4
Direct Deposit into...* This field is required.Important Note: Contractor payments can only be deposited into one account
1 Account
2 Accounts
5
How much per pay period would you like to deposit into Account #1? (Whole dollar amounts only)The remainders of the transaction will be deposited into account #2.
6
Bank Account #1* This field is required.
Bank Name
Please Select
Please Select
Checking
Savings
Checking or Savings
Routing Number - 9 digits
Account Number
7
Bank Account #2
Bank Name
Please Select
Please Select
Checking
Savings
Checking or Savings
Routing Number - 9 digits
Account Number
8
POSSIBLE FRAUD ALERT - Have you confirmed this change with the employee through a method other than e-mail?While Green Dot Bank is a valid bank, many scammers are mirroring employee e-mail addresses and submitting a fraudulent direct deposit change via e-mail.
Yes
No
9
Comments
Huge
Large
Normal
Small
Ok
Ok
10
Submitted By:* This field is required.Payroll Administrator Name
First Name
Last Name
11
New Compliance Regulation

Clergy Financial Resources will now implement a 6-digit 'Verification Code' as a part of our efforts to protect sensitive church payroll data. Effective immediately, anyone that has not been authorized by the church will not have the ability to make modifications. This step protects your church from someone trying to modify or access your payroll information without your consent. If you have not set up your verification code, please click the link below.

SET UP VERIFICATION CODE

This 'Verification Code' will not have any effects on how your current payroll operates or log-in. This is merely an added layer of protection of your data privacy through our website.
12
Your Verification Code
New Compliance Requirement
13
Your Email Address* This field is required.Enter your email address to validate authorization
example@example.com
14
Your Contact Phone Number* This field is required.
Area Code
Phone Number
15
* This field is required.
16
Signature* This field is required.
17
Signature
Should be Empty: