Direct Deposit Authorization Form Completed Form Examples and Samples

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Completed Direct Deposit Authorization Form for a new hire

Source document used: Employee Onboarding Email

Hi HR Team, I am so excited to start my new role at Stellar Innovations as a Senior Developer on October 15, 2026. I'm filling out my payroll paperwork now. Regarding my direct deposit, I’d like to split my paycheck across three accounts. First, please send exactly $500.00 to my Chase checking account in Chicago, IL. The routing number for that is 071000013 and my account number is 8822991100. For my savings account, I’d like 20% of my net pay deposited into my account at Wells Fargo in San Francisco, CA. The routing number for that secondary account is 121000248 and my account number is 5544332211. Finally, for whatever is left over—the remaining net pay—please send that to my Marcus by Goldman Sachs high-yield savings account in New York, NY. The routing number is 021000021 and my account number is 9988776655. My Social Security Number is 999-00-1234. I've double-checked these numbers against my banking app, so everything should be correct. Please let me know if you need anything else from me before the onboarding session. Best regards, Jonathan A. Miller.