America First Credit Union Direct Deposit Authorization Form

Information you will need

• What’s the payee’s SSN?
• What’s the payee’s full name?
• What's the payee's city?
• What's the payee's state?
• What's the payee's ZIP code?
• What’s the payee’s employee number? (if applicable)
• What’s the second line of the payee’s address?
• What’s the payee’s street address?
• What’s the payee’s home phone number?
• What’s the payee’s work phone number?
• Who's the payee's credit union?
• What’s the account type?
• What’s the routing number?
• What's the direct deposit number?
• When is this authorization effective?
• Who’s the payor?
• On what date is this authorization effective?
• What dollar amount will be deposited?
• What percentage will be deposited?
• How much will be deposited?

Completed by the employer.