Direct Deposit Application (ACH)
ACH=Automated Clearing House
Select Employment Type
*
Driver
Owner/Operator
Business Name
*
Email
*
example@example.com
FEIN Number
Name
*
First Name
Last Name
Email
*
example@example.com
Name(s) on Bank Account (business name if used)
Social Security Number
*
Phone Number
*
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Routing Number
*
must be 9 numbers - no spaces
Account Number
*
must be 9-12 numbers - no spaces
Bank Name
*
Bank Branch
*
City, State
Type of Bank Account
*
Personal Checking
Personal Savings
Business Checking
Business Savings
Other
Bank Phone Number
-
Area Code
Phone Number
Upload Photo of a Voided Check
By clicking Submit, I agree to the following Terms & Conditions
*
Signature
*
Signed On
Submit
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