Direct Deposit

This form will allow all or a portion of your pay to be directly deposited into your bank accounts.
You can select up to four (4) accounts to allocate your funds. Please fill out the information below
if you want this service.

• Bank I

Name: Account Type: Checking   Saving   Money Market Account Number: Banking Routing Number:   (ABA#) Amount to Allocate: Is This The Total Amount or   Portion?   Dollar Amount $ or Percentage: %

• Bank II

Name: Account Type: Checking   Saving   Money Market Account Number: Banking Routing Number:   (ABA#) Amount to Allocate: Is This The Total Amount or   Portion?   Dollar Amount $ or Percentage: %

• Bank III

Name: Account Type: Checking   Saving   Money Market Account Number: Banking Routing Number:   (ABA#) Amount to Allocate: Is This The Total Amount or   Portion?   Dollar Amount $ or Percentage: %

• Bank IV

Name: Account Type: Checking   Saving   Money Market Account Number: Banking Routing Number:   (ABA#) Amount to Allocate: Is This The Total Amount or   Portion?   Dollar Amount $ or Percentage: %