Fillable Direct Deposit Information Form

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Direct Deposit Information Form

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

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  • 4 check-boxes
  • 22 other fields

Country of origin: OTHERS
File type: PDF

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This product is offered by Capital One Bank (USA), N.A., and Capital One, N.A., members FDIC.
© 2011 Capital One. Capital One is a federally registered service mark. All rights reserved.
JB99344_DirectDeposit
To make getting started easier, we’ve listed all information you’ll need to begin direct deposit to your
Capital One
®
account. Send this completed form to your employer or use it to have your information
ready. In no time, you’ll be on your way to No Hassle Automatic Savings!
o Start a new Direct Deposit o Change my existing Direct Deposit
Company Information
Company Name ___________________________________________________________________________________
Address __________________________________________________________________________________________
City ___________________________________ State __________ Zip _____________ Phone # __________________
Employee Information
Name _______________________________________ Employee ID#/Account# ______________________________
Social Security # _____________________________________________
Address ___________________________________________________________________________________________
City ___________________________________ State __________ Zip _____________ Phone # ______________________
Bank & Deposit Information
IMPORTANT: For deposits to Capital One accounts, you must CHOOSE YOUR BANK ENTITY (please check the
applicable box for your account) Not sure which box to check? You’ll find more information on the following page.
Bank #1 Bank #2 (Current account)
o Capital One Bank
®
(USA), N.A. Bank Name______________________________________
Routing Number: 051405515
o Capital One
®
, N.A. Bank Routing Number____________________________
Routing Number: 056073502
Account Number ________________________________ Account Number __________________________________
Amount ($) or Percentage ________________________ Amount ($) or Percentage ___________________________
I authorize __________________________________________________ (employer/company) to make deposits
directly to my account(s) indicated above, and authorize the Bank to accept such deposits.
Customer Signature ________________________________________________________ Date________________
Direct Deposit Information Form
This product is offered by Capital One Bank (USA), N.A., and Capital One, N.A., members FDIC.
© 2011 Capital One. Capital One is a federally registered service mark. All rights reserved.
JB99344_DirectDeposit
Saving is easy...
when it’s automatic
Questions & Answers about Automatic Direct Deposit:
Q. What is direct deposit?
A. With this feature, your employer will automatically deposit all or a portion of your paycheck
to your account, so you can build your savings automatically.
Q. How do I set it up?
A. All you need to do is determine the amount you want directly deposited to your account each
pay period. This amount will be automatically withdrawn from every paycheck and deposited
into your account. Talk to your employer about enrolling in direct deposit or splitting your
existing direct deposit across several accounts. Use the form on the first page to prepare the
information you’ll need, or give it to your employer if they don’t have their own form for you
to fill out.
Q. How do I find my bank entity or routing number?
A. To find the bank entity or “depository institution” that your account is held in, look at your
most recent statement. The information will be located to the right of your account number
on your statement. Match the bank entity to the information on the first page and select the
corresponding box next to it. You can also find your bank entity if you have checks. You can find
your bank routing number (or ABA number) within the numbers at the bottom of one of your
checks. The first nine numbers from the left are your bank routing number (the routing number
is always nine digits). Use this number to match with the information on the first page.
Q. What if I have further questions?
A. Just call 1-866-246-9613 and one of our Banking Representatives will help you.
www.capitalone.com
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Direct Deposit Information Form

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Completed 19 October 2021

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