Fillable Direct Deposit Form

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Direct Deposit Form

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The Direct Deposit Form form is 1 page long and contains:

  • 1 signature
  • 3 check-boxes
  • 15 other fields

Country of origin: CANADA
File type: PDF

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CS5532E 06/17
Direct Deposit Form
To:
Source of deposit (ie. employer, company, government agency, organization)
Personal Information:
NAME: PHONE:
ADDRESS:
CITY: PROVINCE: POSTAL CODE:
Bank Information:
INSTITUTION:
Manulife Bank of Canada
BANK NUMBER:
540
TRANSIT:
05012
ACCOUNT NUMBER:
BRANCH ADDRESS:
500 King Street North, Waterloo, ON N2J 4C6
Deposit Type: (check the one that applies)
o Payroll Employee Number:
o Government Deposits Social Insurance Number:
o Other Additional Information:
Please accept this authorization to deposit directly into my Manulife Bank of Canada account.
SIGNATURE DATE
Please forward this completed form to the source of your deposit (ie. employer, company, government
agency, organization) along with a personalized void cheque. It is recommended that you keep a copy for
your own records.
Manulife, Manulife Bank and the Block Design are trademarks of The Manufacturers Life Insurance Company and are used by it, and by its affiliates under license.
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Direct Deposit Form

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Completed 21 February 2022

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