Direct Deposit Template Form - (check one) attach a voided check for each bank account to which funds should be deposited (if necessary) _____________________ [company name] is hereby authorized to directly deposit my pay to the account listed above. I hereby authorize [company name] to directly deposit my pay in the bank account (s) listed below in the percentages specified. Web i hereby authorize _____ [employer name] to deposit all payments due to me into the account(s) listed above. This authorization will remain in effect In addition, i grant _____ [employer name] the authority to take any corrective actions, including debits, as needed, in relation to these deposits. This authorization will remain in effect until i modify or cancel it in writing.
I hereby authorize [company name] to directly deposit my pay in the bank account (s) listed below in the percentages specified. (check one) attach a voided check for each bank account to which funds should be deposited (if necessary) _____________________ [company name] is hereby authorized to directly deposit my pay to the account listed above. This authorization will remain in effect This authorization will remain in effect until i modify or cancel it in writing. In addition, i grant _____ [employer name] the authority to take any corrective actions, including debits, as needed, in relation to these deposits. Web i hereby authorize _____ [employer name] to deposit all payments due to me into the account(s) listed above.