First Citizens Bank Direct Deposit Authorization Form

Information you will need

• What’s the payee’s first name?
• What’s the payee’s middle initial?
• What’s the payee’s last name?
• What's the payee's city?
• What's the payee's state?
• What's the payee's ZIP code?
• What’s the account type?
• What’s the checking account number?
• What’s the savings account number?
• Who’s the payor?
• Who's the account holder?
• What’s the payee’s street address?
• What’s the routing number?

Completed by the employer and the customer.