Direct Deposit Request Form

Sep 17, 2026

This document provides a standardized Direct Deposit Request Form designed for employees to authorize the automatic deposit of their paychecks into specified checking or savings accounts. The form requires essential customer identification, including name and address, as well as specific banking details such as account and routing numbers. It includes clear instructions on locating routing information via online banking platforms and incorporates a formal authorization statement to ensure payroll processing remains consistent until the employee provides written notice of cancellation.

LanguageEnglish

CategoryForms

FormatPDF

Pages1

AccessFree to download

Direct Deposit Request Form

Customer and Account Information

Banking Details and Instructions

Authorization and Signature

FAQs

What is the purpose of the Direct Deposit Request Form?

The form is used to authorize your employer's payroll department to automatically deposit your paycheck into your designated checking or savings account.

How can I find my routing and account numbers?

You can find these details by signing into chase.com, clicking the last four digits of your account number, or by selecting the “Account & routing number PDF” from the “Things you can do” menu.

How long does this authorization remain in effect?

The authorization remains in effect until you provide written notice to your employer to cancel it.

Sep 17, 2026

Upload by Aria Callaghan