Direct deposit is a convenient way to have your paychecks deposited into your bank account. You can also use direct deposit to transfer money to another person's bank account. To set up direct deposit, you'll need to complete a Paychex Direct Deposit Form and provide your banking information. The form can be completed online or downloaded and printed out. Once the form is filled out, you can submit it to your employer or send it to Paychex. Your paychecks will be deposited directly into your bank account according to the schedule you choose. Direct deposit is a safe, secure, and efficient way to receive your paychecks and payments.
You will discover info about the type of form you wish to complete in the table. It will show you just how long it will need to finish paychex direct deposit form, what fields you need to fill in and some further specific details.
| Question | Answer |
|---|---|
| Form Name | Paychex Direct Deposit Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names |
Direct Deposit Enrollment/Change Form*
Company Name and/or Client Number ________________________________________________________
Employee/Worker Name_____________________________ Employee/Worker Number __________
Employee/Worker: Retain a copy of this form for your records. Return the original to your employer/company.
Employer/Company: Please retain a copy of this document for your records.
COMPLETE TO ENROLL / ADD / CHANGE BANK ACCOUNTS
–
PLEASE PRINT CLEARLY IN BLACK/BLUE INK ONLY
Add new
Update existing account
Replace existing account
Last 4 digits of the existing account number
Type of Account Checking |
Savings |
Account holder's Name:
Routing/Transit Number
Checking/Savings Account Number**
Financial Institution (“Bank”) Name
I wish to deposit (check one): _____% of Net |
Specific Dollar Amount $ _____________ .00 |
Remainder of Net Pay |
Add new
Update existing account
Replace existing account
Last 4 digits of the existing account number
Type of Account Checking |
Savings |
Account holder's Name:
Routing/Transit Number
Checking/Savings Account Number**
Financial Institution (“Bank”) Name
I wish to deposit (check one): _____% of Net |
Specific Dollar Amount $ _____________ .00 |
Remainder of Net Pay |
Add new
Update existing account
Replace existing account Last 4 digits of the existing account number
Type of Account Checking |
Savings |
Account holder's Name:
Routing/Transit Number
Checking/Savings Account Number**
Financial Institution (“Bank”) Name
I wish to deposit (check one): _____% of Net |
Specific Dollar Amount $ _____________ .00 |
Remainder of Net Pay |
CONFIRMATION STATEMENT
–
PLEASE PRINT CLEARLY IN BLACK/BLUE INK ONLY
I authorize my employer/company to deposit my earnings into the bank account(s) specified above and, if necessary, to electronically debit my account to correct erroneous entries. I certify my account(s) allow these transactions. Furthermore, I certify that the above listed account number accurately reflects my intended receiving account. I agree that direct deposit transactions I authorize comply with all applicable laws. My signature below indicates that I am agreeing that I am either the accountholder or have the authority of the accountholder to authorize my employer/company make direct deposits into the named account. I understand that this authorization will remain in full force and effect until I notify Company in writing that I wish to revoke my authorization.I understand that the Company requires at least 5 business days prior notice to cancel this authorization.
Employee/Worker Signature ________________________________________ |
Date: ________________ |
|
MM/DD/YY |
I confirm that the above named employee/worker has added or changed a bank account for direct deposit transactions processed by Paychex, Inc. I have reviewed the information provided and it is accurate to the best of my knowledge. My signature below indicates that I have the authority to execute this document on behalf of the Client.
Employer/Company Representative Printed Name: _______________________________
Employer/Company Representative Signature: _____________________________________ Date: ______________
* All fields are required except Employee/Worker Number. |
MM/DD/YY |
|
** Certain accounts may have restrictions on deposits and withdrawals. Check with your bank for more information specific to your account.
Note:Digital or Electronic Signatures are not acceptable.
DP0002 10/20
Form Expires 10/31/23