Direct Deposit Authorization
A direct deposit authorization tells an employer to send pay to an account. Many employers reject anything but their own form or a voided check. Ask payroll before you rely on this page. If they accept a plain authorization, this one names the account, the amount, and your permission to correct an error. You can revoke it in writing. Do not send the completed page to anyone except payroll. A debit card number is not an account number.
For an employee whose employer accepts a plain deposit authorization. When: when payroll says this format is acceptable.
Do not email this page. If the bank gave you its own form, use that. Hand account numbers over in person or in the bank's portal.
Naming a state changes the note on the page. It does not add that state's required clauses, fees, or font rules. Papero does not invent statutes.
10 lines are still blank. You can still print. Write "not applicable" on a line that does not apply.
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Preview. This is the page that prints.
Direct Deposit Authorization
Employee
Account
Signature
Signature
Date
Why this form exists, and what it will not do
Direct Deposit Authorization is for an employee whose employer accepts a plain deposit authorization. The moment to use it: when payroll says this format is acceptable. It sits in the Money and payments group on Papero. Private notes, payment plans, and letters about income. Not a bank's own form.
Fill it in this browser. Papero does not create an account, does not upload the answers, and does not keep a copy after you close the tab. When the preview looks right, print it or download a PDF. The PDF is built on your device. A blank download leaves the lines empty so someone else can fill them by hand.
Work through the page in order. The Employee section asks for Employee name, Employer, Employee ID or SSN last four. The Account section asks for Bank, Routing number, Account number, Type, Deposit, Start with the pay date of, Voided check or bank letter attached.
Employee name. Name. Employer. Company. Employee ID or SSN last four. Last four only, so payroll matches the file. Bank. Name. Routing number. ACH routing.
Account number. Deposit account, not a card. Type. Checking or savings. Deposit. All of net pay, or a dollar amount. Start with the pay date of. The first pay date. Voided check or bank letter attached. Payroll often rejects the form without one.
People send this back, or refuse it, for ordinary reasons. Payroll required its own form. You listed a debit card number. You emailed it to a personal address by mistake. Read the finished page once as if you were the person receiving it. If a line would make you call back, fill that line.
Sign on the Signature and Date line. A typed name in the signature spot is weaker than ink on a printed page. Date it the day you sign, not the day you hope the other person signs.
What this page cannot do: A private note or payment plan can be a contract between the people who sign it. It is not a court judgment and not a wage garnishment. Interest above your state's limit can spoil a note. If you are not charging interest, write "no interest" instead of leaving a blank a later reader could fill in. Banks use their own direct-deposit form when they require one. Papero is not a law firm, not a government agency, and not the office that will accept or reject the paper.
State note for your state. Direct Deposit Authorization does not contain your state's required clauses, font size, language, or filing fee. Counties and cities inside your state sometimes add their own rule on top of the state. Before you rely on this for a lease, a school, a court, a bank, or an agency, compare it with the form that office publishes. If the office has no form, this template is a clear record of what you wrote and what you signed on this date.
After you print, use dark ink. Write "not applicable" on a line that does not apply, so a clerk does not treat a blank as a missing fact. Initial a correction beside the line. Do not cover a dollar amount with correction fluid. Each person who has a signature line signs their own name. One person cannot sign for another unless a statutory power of attorney, on the form that office accepts, already says so. Give the other party a copy the same day. On your copy, note the date and whether you handed it over, mailed it, or uploaded it to their portal. Attach copies of supporting papers, not your only original, unless the office demanded the original. Do not attach a Social Security card, a passport image, or a bank statement unless the recipient told you to, and then only in person or through their secure portal. Email is a common way those images are stolen. If the recipient is a government office, stop and use the form on that office's own site. Papero does not transmit this page, does not notarize it, and does not store it.
Keep a copy. Give the other party a copy. If you later change a fact, fill the form again and date the new copy. Do not scribble a second story into the margin of a page someone already signed. Write the date you handed it over, and how, on your own copy.
Before you rely on it
- Payroll required its own form.
- You listed a debit card number.
- You emailed it to a personal address by mistake.
A private note or payment plan can be a contract between the people who sign it. It is not a court judgment and not a wage garnishment. Interest above your state's limit can spoil a note. If you are not charging interest, write "no interest" instead of leaving a blank a later reader could fill in. Banks use their own direct-deposit form when they require one.
How to fill and print it
- Fill the lines. Type into the Direct Deposit Authorization in this browser. Write "not applicable" on a line that does not apply. What you type stays in this tab and is not uploaded.
- Check the preview. The boxed preview is the page that prints. Read it once as the person who will receive the paper.
- Print or download. Use Print, or download a filled PDF or a blank PDF. The file is built on your device.
More Money and payments forms
Questions
What is a Direct Deposit Authorization used for?
A direct deposit authorization tells an employer to send pay to an account.
Who should use this Direct Deposit Authorization?
It is for an employee whose employer accepts a plain deposit authorization. Use it when when payroll says this format is acceptable.
Does this Direct Deposit Authorization need a notary?
No. This Direct Deposit Authorization has no notary block. Sign the Signature, Date line in ink on the printed page if you are handing it to someone.
Will a Direct Deposit Authorization from Papero be accepted?
Payroll required its own form. A private note or payment plan can be a contract between the people who sign it. It is not a court judgment and not a wage garnishment. Interest above your state's limit can spoil a note. If you are not charging interest, write "no interest" instead of leaving a blank a later reader could fill in. Banks use their own direct-deposit form when they require one.
What gets a Direct Deposit Authorization sent back?
Payroll required its own form. You listed a debit card number. You emailed it to a personal address by mistake.