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It includes sections for account type, account number, ABA routing number, and deposit amount rules (percentage, flat amount, or remaining). It also covers returning improperly deposited funds and outlines revocation and termination timing.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/non-federal-direct-deposit-enrollment-request-form-authorization-agreement-for-automatic-deposits-ach-credits/283985/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/non-federal-direct-deposit-enrollment-request-form-authorization-agreement-for-automatic-deposits-ach-credits/283985.png","ImageObject",442,249,{"name":42,"@type":43},"Mary Man","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-04","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",16,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What information must be completed before signing the form?","Question",{"text":63,"@type":64},"The form requires the entire enrollment request to be completed, including account type, account number, ABA routing number, and deposit amount details as specified.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"Which ABA routing number should be used?",{"text":68,"@type":64},"Use the ABA routing number from the state where the account was opened.",{"name":70,"@type":61,"acceptedAnswer":71},"How can the authorization be revoked and when does it remain effective?",{"text":72,"@type":64},"Revocation is allowed only by notifying the originator in the manner specified in the authorization. The authority remains in effect until the employer/company receives written notification of termination with time for a reasonable opportunity to act.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},283985,1791040127,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,108,112,117,122],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":55,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":82,"data":127},{"doc_id":79,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":4},7421720224475,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Reset  \nNon-Federal Direct Deposit Enrollment Request Form  \nAuthorization agreement for automatic deposits (ACH credits)  \nDirections for Customer Use:  \n1) Ensure entire form is complete, then sign and date  \n Use the ABA routing number from the state where your account was opened  \n2) Ensure appropriate Employer / Company address is used when mailing completed form.  \n3) Employer/Company should review this form for completeness and suitability. If Employer / Company prefers or requires their own form, use account type, number and ABA routing number below to help complete their form  \n4) Mail form directly to Employer / Company (Note: It is not necessary for employer or company to return the form to the bank once direct deposit is set up into the payroll system)  \nEmployer / Company Name:    \nEmployer Address City State Zip  \nI (we) authorize the above named Company to initiate credit entries to my Bank of America Checking and/or Savings accounts indicated below and to credit the same to such amount. I (we) acknowledge that the origination of the ACH transactions to my (our) account must comply with the provisions of U.S. Law.  \n.  \nAccount type  Checking  Savings State Acct Opened  \nAccount number    \nABA Routing Number    \nDeposit Amount   % OR $   (Flat Amount) OR  Remaining  \nNote: Funds can be deposited into one account or split between accounts as a set percent or dollar amount  \nAccount type  Checking  Savings State Acct Opened  \nAccount number    \nABA Routing Number    \nDeposit Amount   % OR $   (Flat Amount) OR  Remaining  \nAccount type  Checking  Savings State Acct Opened  \nAccount number    \nABA Routing Number    \nDeposit Amount   % OR $   (Flat Amount) OR  Remaining  \nIf monies to which I am not entitled are deposited to my account, I authorize the Company (issuer) to direct the financial institution to return said funds and I authorize the financial institution to act on the Company's direction and to return said funds. This authority will remain in effect until Employer/Company has received written notification from me of its termination in such time and in such manner as to afford Company and financial institution a reasonable opportunity to act on it.  \n\n| First Name | Middle Name | Last Name |  |\n| --- | --- | --- | --- |\n| Address | City | State\u003Cbr>- - | Zip |\n\nSignature (required) Date Tel Number  \nNOTE: Written credit authorization must provide that the receiver may revoke the authorization only by notifying the originator in the manner specified in the authorization.  \n00-53-2276NSB 04-2010","cbCaisioViTdJqb1","https://ap.wps.com/l/cbCaisioViTdJqb1","pdf",267547,"English","# Directions for Customer Use\n## Employer/Company mailing and review steps\n# Authorization terms\n## ACH credit compliance with U.S. law\n## Funds return and revocation/termination timing\n# Account details\n## Account type, ABA routing number, deposit amount\n# Signature and date","[{\"question\":\"What information must be completed before signing the form?\",\"answer\":\"The form requires the entire enrollment request to be completed, including account type, account number, ABA routing number, and deposit amount details as specified.\"},{\"question\":\"Which ABA routing number should be used?\",\"answer\":\"Use the ABA routing number from the state where the account was opened.\"},{\"question\":\"How can the authorization be revoked and when does it remain effective?\",\"answer\":\"Revocation is allowed only by notifying the originator in the manner specified in the authorization. The authority remains in effect until the employer/company receives written notification of termination with time for a reasonable opportunity to act.\"}]","Non-Federal Direct Deposit Enrollment Request Form - Authorization agreement for automatic deposits (ACH credits) | PDF",1789623796]