Regions Bank Direct Deposit Authorization Form

Information you will need

• What’s the bank account number?
• What’s the company or employer’s name?
• What’s the payee’s full name?
• What’s the bank account number of the savings account?
• What’s the bank account number of the checking account?
• What’s the checking account routing number? (if applicable)
• What’s the savings account routing number? (if applicable)
• What amount will be deposited in the payee's savings account? (if applicable)
• What amount will be deposited in the payee's checking account? (if applicable)
• What’s the checking account routing number?
• What’s the savings account routing number?
• What’s the bank account number where the remainder will be deposited?