Fifth Third Bank Direct Deposit Authorization Form

Information you will need

• What’s the payee’s first name?
• What’s the payee’s last name?
• 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?
• What’s the payee’s home phone number?
• What’s the payee’s work phone number?
• What’s the payee’s SSN?
• Who’s the payor?
• What’s the account type?
• What’s the routing and transit number?
• What’s the bank account number?
• What dollar amount will be deposited?
• What’s the second bank account number?
• What’s the second routing and transit number?
• What’s the second account type?
• What dollar amount will be deposited into the second account?
• What's the purpose of this deposit form?
• What's the payor's phone number?
• What’s the payee’s employee ID number or department?

Completed by the employer and the employee and the lender.