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Onboarding
Direct Deposit Authorization Form
An authorisation form enabling employees to securely route payroll deposits to one or multiple bank accounts with allocation preferences and verification fields.
DIRECT DEPOSIT AUTHORIZATION FORM
This form authorises [Company Name] to electronically deposit your payroll net pay directly into your designated bank account(s).
EMPLOYEE INFORMATION
Full Name (as on bank records): [First Name] [Last Name]
Employee ID: [Number] | Department: [Department]
Date: [DD/MM/YYYY]
SECTION A: PRIMARY ACCOUNT
Allocation: [Full Net Pay / Percentage / Fixed Amount]
Bank Name: [Bank Name]
Account Type: ☐ Checking ☐ Savings
Account Number: [Number]
Confirm Account Number: [Number]
Routing / Sort Code / IFSC: [Number]
Account Holder Name(s): [Name(s) as on bank account]
Deposit Amount / Percentage: [Full Amount / X% / $X.XX]
SECTION B: SECONDARY ACCOUNT (Optional)
Allocation: [Percentage / Fixed Amount]
Bank Name: [Bank Name]
Account Type: ☐ Checking ☐ Savings
Account Number: [Number]
Confirm Account Number: [Number]
Routing / Sort Code / IFSC: [Number]
Account Holder Name(s): [Name(s) as on bank account]
Deposit Amount / Percentage: [X% / $X.XX]
Total Allocation Must Equal 100%: Primary: [X]% + Secondary: [X]% = 100%
SECTION C: TERMS AND CONDITIONS
I authorise [Company Name] to initiate credit entries to my designated accounts and debit entries for erroneous payments.
I understand that:
1. Direct deposit begins on [Start Date] following processing.
2. I am responsible for providing accurate information. The company is not liable for errors caused by incorrect information provided by me.
3. I must notify HR/Payroll immediately in writing if my account changes.
4. I may change instructions by submitting a new form.
5. Rejected deposits will be reissued by cheque on the next pay cycle.
SECTION D: SUPPORTING DOCUMENT
☐ Voided cheque attached
☐ Bank letter confirming account details attached
☐ Recent bank statement (within 90 days) attached
SECTION E: AUTHORIZATION
I certify the bank account information is accurate and I am the authorised signatory.
Signature: _______________________ Date: _______________________
FOR PAYROLL / HR USE ONLY
Received: [Date] | Verified against supporting doc: ☐ Yes
Setup in payroll system: ☐ Yes — Date: [Date] | By: [Name]