Direct Deposit Instructions

Direct deposit is mandatory. All employees must fill this document out correctly in order to be paid for sessions worked.

• Please fill out the Social security number, name, and department on the top of this form. Please be sure to populate Boxes A and B, include your bank name, city, and state, as well as the routing and account numbers.
• If you select your payment to be deposited into a checking account, please attach a voided check to the form. If you do not have a check to void, request a bank verification form from your bank. Include the verification form the bank gives you with your direct deposit form.
• If you select payment to be deposited into a savings account, please request a bank verification form from your bank. Include the verification form the bank gives you with your direct deposit form.
• Sign and date the form.

BE SURE THAT THE NUMBERS YOU WROTE DOWN ON THE DIRECT DEPOSIT FORM MATCH THE NUMBERS ON THE BANK VERIFCATION FORM.

If your direct deposit information should change, please be sure to contact the EFY office at (801) 422–3817 ext 2. Without this notification, your payment could be delayed.

PLEASE BE AWARE THIS FORM MUST BE COMPLETED EACH YEAR OF EMPLOYMENT

Direct Deposit Form

Sample Direct Deposit Form

Sample UPDATE to a Direct Deposit Form

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