MTB Direct Deposit Authorization Form

Information you will need

• What’s the payee’s full name?
• What’s the account type?
• 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 social security number (SSN)?
• What’s the payee’s phone number?
• What’s the company or employer’s name?
• What’s the payee’s employee number? (if applicable)
• What’s the bank account number?
• What’s the routing number?
• What percentage will be deposited?
• What dollar amount will be deposited?
• Are deposits for this account for the remaining amounts of payments?

Completed by the employer.