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Employee Direct Deposit Banking Authorization Form
RUN Powered by ADP®
1. Deposit/Account Information
Bank Name: ________________________________________________________________________________________
Routing #: ____________________________________ Account #: __________________________________________
Choose only one account type: Amount to deposit in selected account:
☐ Checking ☐ Savings $ ________________ or ☐ Full Net Amount
2. Deposit/Account Information
Bank Name: ________________________________________________________________________________________
Routing #: ____________________________________ Account #: __________________________________________
Choose only one account type: Amount to deposit in selected account:
☐ Checking ☐ Savings $ ________________ or ☐ Full Net Amount
3. Deposit/Account Information
Bank Name: ________________________________________________________________________________________
Routing #: ____________________________________ Account #: __________________________________________
Choose only one account type: Amount to deposit in selected account:
☐ Checking ☐ Savings $ ________________ or ☐ Full Net Amount
4. Deposit/Account Information
Bank Name: ________________________________________________________________________________________
Routing #: ____________________________________ Account #: __________________________________________
Choose only one account type: Amount to deposit in selected account:
☐ Checking ☐ Savings $ ________________ or ☐ Full Net Amount
Take advantage of Employee Access® in RUN Powered by ADP® to let your employees manage their own direct deposits.
*Attention Payroll Contact: Employers must keep each original Employee Direct Deposit Banking Authorization form on file as long as the employee is
using direct deposit, and for two years thereafter. Employers may be subject to certain federal and state direct deposit notice, authorization and record
retention requirements. Please review your applicable federal, state and local laws. This form is provided for convenience only and is not meant and should
not be construed as legal, HR, financial, insurance, tax or accounting advice. You should consult with your own legal counsel, human resource, accounting
or other professional advisor for circumstances pertaining to your business.