PNC Bank Direct Deposit Authorization Form

Information you will need

• How much will be deposited?
• What’s the account type?
• What’s the payee’s address?
• What’s the payee’s full name?
• What’s the bank account number?
• What’s the routing number?
• What’s the payee’s social security number (SSN)?
• What’s the second line of the payee’s address?
• Who’s the payor?
• What fixed amount will be deposited?
• Is this a new or change request?
• How much will be deposited into the second account?
• What’s the second account's routing number?
• What’s the second bank account number?
• What’s the second account type? (if applicable)
• What fixed amount will be deposited into the second account?

Completed by the employer.