Bank Of America Direct Deposit Authorization Form

Information you will need

• What’s the account type?
• What’s the bank account number?
• What’s the routing number?
• What percentage will be deposited?
• What dollar amount will be deposited?
• What’s the payee’s address?
• What's the payee's city?
• What's the payee's state?
• What's the payee's ZIP code?
• Who’s the payor?
• What's the payor's city?
• What's the payor's state?
• What's the payor's ZIP code?
• Should the remaining amount be deposited?
• What's the payee's area code?
• What are the first three digits of the payee's phone number?
• What’s the payee’s middle name?
• What’s the payee’s first name?
• What’s the payee’s last name?
• What are the last four digits of the payee's phone number?
• What’s the payor's business address?

Completed by the employer.