Direct Deposit

Active checking or savings account
Your name must be on that account
Direct Deposit forms must be completed each year and returned to our office by July 17, 2020.

Name*
First Last
Email*
Social Security Number*
Address*
Street Address City State / Province / Region ZIP / Postal Code
Checkings or Savings
Bank Name*
Account Number*
Confirm Account Number*
9-Digit Routing Number*
Confirm 9 Digit Routing Number*
Checking or Savings*
- Checking
- Savings
Acknowledgement*
I agree.
I hereby authorize Express Employment Professionals to initiate deposits of my net pay into the financial institution (Financial Institution) listed below, and further authorize the Financial Institution to credit the account indicated with the deposit. If funds to which I am not entitled are deposited in my account, I authorize debits from my account and the return of such funds to correct any errors. This authority is to remain in full force and effect until Express or the Financial Institution receives notification from me to terminate such authorization allowing a reasonable amount of time for Express and the Financial Institution to act on these instructions or until Express or Financial Institution cancels the direct deposit arrangement. I understand that I can change my pay selection at any time in the future. I accept responsibility for notifying Express of any change to my account’s status.
Signature (type your full name)*
Date*
Date Format: MM slash DD slash YYYY

Checkings or Savings