ACH Authorization

Direct Deposit Application (ACH)

ACH=Automated Clearing House
DriverOwner/Operator
- Business Name*
- Email*
  example@example.com
- FEIN Number
- Name*
  
  First NameLast 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
  
  CityState / 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
- Personal CheckingPersonal SavingsBusiness CheckingBusiness SavingsOther
- Bank Phone Number
  
  Area CodePhone Number
- Upload Photo of a Voided Check
- By clicking Submit, I agree to the following Terms & Conditions*
- Signature*
- Signed On
- Should be Empty: