1. Federal Government Benefit Compensation:
To sign up for direct deposit of your federal benefit payments such as Social Security, SSI or VA Compensation and Pension Payment
•GototheU.S.DepartmentoftheTreasurywebsite:www.godirect.org, or
•EnrollbyphonebycallingtheU.S.DepartmentoftheTreasurytollfreeat:1-800-333-1795
You’llneedyour:
•Socialsecuritynumberorclaimnumber
•12-digitfederalbenetchecknumber
•Amountofmostrecentfederalbenetcheck
•TDBank’sroutingtransitnumber:
•TDBankaccountnumber:
•Typeofaccount(checkingorsavings):
2. Payroll Compensation
Complete and sign this direct deposit form and give it to your employer’s payroll representative – it’s that easy!
Employeenameandaddress:
Employeephonenumber:
EmployeeID:
(ifapplicable)
Employeesocialsecuritynumber:
Pleasebegindirectlydepositingmypayrolland/ordividendorannuitycheckintomyaccountatTDBank.
Directdepositthefollowing:
oTotalnetcheckamount
oThesetamountof$_____________________________ofmynetcheckeachperiod.
Bankname: TDBank,N.A.
Address: 32ChestnutSt.
P.O.Box1377
Lewiston,ME04243-1377
TDBankroutingtransitnumber:
TDBankaccountnumber:
Typeofaccount: oCheckingoSavings
Employeesignature Date
TD Bank makes setting up direct deposit easy with this convenient, pre-filled form. There are two types of
direct deposit enrollment available: Federal Government Benefit Compensation and Payroll Compensation.
Steps to enroll for each are outlined below.
11440C-CHK (03/16)
Direct Deposit Authorization Form