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                     Intuit QuickBooks Payroll                                 
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Employee Direct Deposit Authorization
Instructions
Employee: Fill out and return to your employer. 
Employer: Save for your files only.
This document must be signed by employees requesting automatic deposit of paychecks and 
retained on file by the employer. Do not send this form to Intuit. Employees must attach a voided 
check for each of their accounts to help verify their account numbers and bank routing numbers.
Account 1
Account 1 type: Checking Savings
Bank routing number (ABA number):  
Account number:     
Percentage or dollar amount to be deposited to this account:
Account 2 (remainder to be deposited to this account)
Account 2 type: Checking Savings
Bank routing number (ABA number): 
Account number:     
attach a voided check for each account here
Authorization (enter your company name in the blank space below)
This authorizes             (the “Company”)
to send credit entries (and appropriate debit and adjustment entries), electronically or by any other 
commercially accepted method, to my (our) account(s) indicated below and to other accounts I (we) identify in 
the future (the “Account”). This authorizes the financial institution holding the Account to post all such entries. I 
agree that the ACH transactions authorized herein shall comply with all applicable U.S. Law. This authorization 
will be in effect until the Company receives a written termination notice from myself and has a reasonable
opportunity to act on it.
Authorized signature:       Employee ID #:
Print name:         Date:
Employee Direct Deposit Authorization Form Ver. Authorization_for_Direct_Deposit-061812