Free template

Employee Direct Deposit Authorization Form Template

Draft your custom agreement in seconds with AI Lawyer

Employee Direct Deposit Authorization Form Template

Download template

Employee Direct Deposit Authorization Form Template


Employer/Company Name: [Company Name]
Payroll Contact (Optional): [Email/Phone]
Employee Name: [Full Name]
Employee ID (Optional): [ID]
Date: [Date]


1. Authorization

1.1 I authorize [Company Name] to deposit my wages and other payroll payments electronically to the bank account(s) listed below.
1.2 I understand that I am responsible for providing accurate banking information and notifying payroll of changes.


2. Banking Details (Handle Securely)

2.1 Primary Account

  • Bank name: [Bank Name]

  • Account type: ☐ Checking ☐ Savings

  • Routing number: [Routing]

  • Account number: [Account No.]

  • Last 4 digits (for confirmation): [____]

2.2 Split Deposit (Optional)
☐ No split (deposit 100% to primary account)
☐ Split between two accounts:

  • Secondary bank name: [Bank Name]

  • Account type: ☐ Checking ☐ Savings

  • Routing number: [Routing]

  • Account number: [Account No.]

  • Deposit method: ☐ Fixed amount $[] per paycheck ☐ []% per paycheck


3. Verification (Recommended)

3.1 Provide one of the following (recommended):
☐ Voided check
☐ Bank letter/statement showing routing/account (redact balances)
☐ Payroll system micro-deposit verification (if available)
☐ Other: [Method]


4. Changes and Cancellation

4.1 Any changes to banking information must be submitted in writing using an updated form.
4.2 Changes must be received at least [__] business days before payroll processing to take effect.
4.3 I may revoke this authorization by providing written notice, subject to payroll processing timelines.


5. Data Handling (Optional)

5.1 Banking information will be used only for payroll purposes, stored securely, and access will be limited to authorized personnel.


Signatures

Employee: [Full Name]
Date: [Date]
Signature: ___________________________

Payroll/HR Representative (Optional): [Name]
Date: [Date]
Signature: ___________________________

Flash deal

Flash deal

Today

Today

No time to fill it up? Generate your custom agreement with AI Lawyer in seconds

What’s Included

Legal Research

Legal Research

Legal Research

Contract Drafting

Contract Drafting

Contract Drafting

Document Review

Document Review

Document Review

Risk Analytics

Risk Analytics

Risk Analytics

Citation Verification

Citation Verification

Citation Verification

Easy-to-understand jargon

Easy-to-understand jargon

Easy-to-understand jargon

Details

Learn more about

Employee Direct Deposit Authorization Form Template

Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.

Click below for detailed info on the template.
For quick answers, scroll below to see the FAQ.

EMPLOYEE DIRECT DEPOSIT AUTHORIZATION FORM TEMPLATE FAQ


What is an employee direct deposit authorization form?

An Employee Direct Deposit Authorization Form is used by an employer to collect an employee’s banking information and written permission to deposit wages electronically. It helps ensure payroll is delivered correctly and provides a record of authorization.


Can an employee split pay between accounts?

Often yes. Many payroll systems allow splitting pay between two accounts (fixed amount or percentage). This template includes an optional split section.


How should banking information be handled?

Banking details are sensitive. Collect them through secure methods, limit access, and avoid emailing full account numbers. This template includes a short data handling note and a verification checklist.


When do changes take effect?

Most employers require changes several days before payroll processing. This template includes a change notice period you can customize.


What documents should be attached?

Common verification includes a voided check or bank letter. This template includes a checkbox list for verification methods.


What is AI Lawyer?

AI Lawyer is an AI-powered assistant that helps you create and customize legal and business document templates online. It guides you through key sections, suggests wording, and explains complex concepts in simple language. AI Lawyer does not replace a licensed attorney or provide legal advice, but helps you prepare better documents faster and more confidently.

Similar templates

Other templates from

Employment Legal Templates

Money back guarantee

Free trial

Cancel anytime

AI Lawyer protects

your rights and wallet

🌐

Company

Learn

Terms

©2026 AI Lawtech Sp. z O.O. All rights reserved.

Money back guarantee

Free trial

Cancel anytime

AI Lawyer protects

your rights and wallet

🌐

Company

Learn

Terms

©2026 AI Lawtech Sp. z O.O. All rights reserved.

Money back guarantee

Free trial

Cancel anytime

AI Lawyer protects

your rights and wallet

🌐

Company

Learn

Terms

AI Lawtech Sp. z O.O.

©2026

Money back guarantee

Free trial

Cancel anytime

AI Lawyer protects

your rights and wallet

🌐

Company

Learn

Terms

©2026 AI Lawtech Sp. z O.O. All rights reserved.