Paychex Direct Deposit Form – Fill Out and Use This PDF

The Paychex Direct Deposit form is a document used to enroll in, add to, or change direct deposit arrangements for employee pay. It requires detailed information like company and employee details, bank account information, and specific instructions on how the deposited pay is to be allocated between accounts. Careful completion of this form ensures earnings are accurately and timely deposited, streamlining the payment process for both employer and employee. Ready to set up your direct deposit? Click the button below to fill out the form.

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Paychex Direct Deposit Form PDF Details

The Paychex Direct Deposit form serves as a vital tool for employees and employers alike, streamlining the process of paycheck distributions. As part of the enrollment, update or change process for an employee's or worker's bank account details, this document captures essential information such as company and employee identification, bank account information, and the specific allocation of net pay into one or multiple accounts. Whether it's about adding a new account, updating an existing one, or replacing one entirely, the form requires careful completion in black or blue ink only. It delineates the type of bank account—checking or savings—along with the account holder's name, the account number, and the financial institution's routing number. Employees have the flexibility to choose either a percentage of their net pay or a specific dollar amount to be deposited into their designated account(s). Furthermore, a confirmation statement at the end of the form requires the employee's signature, confirming the authorization for the direct deposit and, if necessary, allowing corrections to be made to any erroneous entries. Employers must confirm the accuracy of the details provided, cementing the agreement between the employee, employer, and Paychex in facilitating a smoother, electronic means of salary distribution. This arrangement adheres strictly to relevant laws, underscoring the necessity of clear, accurate information and the mutual agreement encapsulated in the document’s signatures, which are a testament to the commitment of all parties involved to uphold this modern payroll solution. Note that digital signatures are not accepted, ensuring the integrity of the authorization process.

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	Employer/Company: Please retain a copy of this document for your records

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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

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Step 2: You can find all the options that you may use on the template once you've got accessed the Paychex Direct Deposit Form editing page.

Type in the data demanded by the software to get the document.

example of empty fields in Paychex Direct Deposit Form

Type in the appropriate data in the CheckingSavings Account Number, Financial Institution Bank Name, I wish to deposit check one of, Add new Replace existing account, Type of Account Checking, Savings Account holders Name, RoutingTransit Number, CheckingSavings Account Number, Financial Institution Bank Name, I wish to deposit check one of, CONFIRMATION STATEMENT, PLEASE PRINT CLEARLY IN BLACKBLUE, and I authorize my employercompany to section.

Entering details in Paychex Direct Deposit Form stage 2

Note down the demanded data once you are within the I authorize my employercompany to, Date, I confirm that the above named, MMDDYY, Note, Digital or Electronic Signatures, and DP Form Expires box.

Paychex Direct Deposit Form I authorize my employercompany to, Date, I confirm that the above named, MMDDYY, Note, Digital or Electronic Signatures, and DP Form Expires fields to complete

Step 3: When you are done, select the "Done" button to upload the PDF form.

Step 4: You should create as many duplicates of the form as possible to avoid future issues.

Paychex Direct Deposit Form – Fill Out and Use This PDF

Paychex Direct Deposit Form PDF Details

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Paychex Direct Deposit Form – Fill Out and Use This PDF

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