SafeSpend CardSM Direct Deposit Form
Benefits
•Convenient — There is no need to fit in time to cash checks into your busy schedule.
•Fast — You have immediate access to your money at the time of the deposit.
•Safe — Never worry about checks getting lost, delayed or stolen.
•Automatic Payment — Your money is automatically deposited onto your SafeSpend Card.
How to Set up Direct Deposit
Complete and SIGN this form then give it to your employer or other payor — or —
Use the table below to identify common payors who typically only accept government form 1199a.
To whom it may concern — Please begin making payment by direct deposit to my BBVA Compass account.
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NAME (PLEASE PRINT)
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ADDRESS
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CITY |
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ZIP |
Date ___________ /___________ /___________ |
Phone ___________________________________________________________________________________________________ Day / Evening (circle one) |
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SIGNATURE
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0 |
6 |
2 |
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1 |
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8 |
6 |
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Name and address |
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Routing Number _____ |
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_____ |
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_____ _____ |
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of financial institution: |
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Account Number _____ |
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_____ _____ |
_____ _____ _____ _____ |
_____ _____ _____ |
_____ _____ _____ _____ _____ |
Compass Bank |
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15 South 20th Street |
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(To get your 17-digit account number simply login to your account and go to the account activity screen) |
Birmingham, AL 35233 |
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This is not your card number |
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Employed by or receive benefits from a U.S. government agency? |
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Direct Deposit |
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100% of my pay |
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Type of Direct Deposit |
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Contact Information for that Agency |
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Other Amount |
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• |
Social Security (SSA) |
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Call 1-800-772-1213 (1-800-325-0778 TTY) |
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$ |
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or |
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• Supplemental Security Income (SSI) |
www.socialsecurity.gov |
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% |
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Civil Service Retirement |
Call 1-888-767-6738 (1-800-878-5707 TTY) |
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(Ofice of Personal Management) |
www.servicesonline.opm.gov |
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Ability to specify amount or percent |
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• Veterans Compensation and Pension |
Call 1-877-838-2778 (1-800-829-4833 TTY) |
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of pay may not be available |
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www.va.gov |
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Your payor may need you to complete a separate form in order to process your request. Your payor should |
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provide you with a copy of your completed authorization. |
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BBVA Compass is a trade name of Compass Bank, Member FDIC.
Rev 5/2011