Follow these steps
1. Complete this form, then print and sign it.
2. Take the form to your employer’s payroll department to request direct deposit of your paycheck.
3. Your employer may request for a voided check of the account from which you wish to receive your paycheck
.
Savings Bank
Payroll Direct Deposit Request Form
Customer Name
Please have my paycheck automatically deposited into the following account:
Full Payroll Amount Partial Fixed Payroll Amount: $_____________________________________________
I authorize (name of employer) ________________________________________________________________________________________________________________
to initiate credit entries to my account number at American Savings Bank. (This includes my authorization
to correct entries made in error). This authorization will remain in effect until I give written notice to cance
l
it and at a time that allows the company a reasonable opportunity to act on it.
Signature:_______________________________________________________________________________ Date:___________________________________________
American Savings Bank Routing Number: 321370765
Account Number (up to 10 digits):
__________________________________________________________
Checking / Money Market Account Savings Account
Effective Date:_______________________________________________
Use the account number
on your checks as shown
here. Use the full 10-digit
number.
Member FDIC
EQUAL HOUSING
L E N D E R
19H173 (6/20) ©2020 American Savings Bank, F.S.B.
asbhawaii.com/direct-deposit
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