US Bank Direct Deposit Authorization Form

Information you will need

• What’s the bank account number?
• What’s the routing number?
• What’s the account type?
• What’s the payee’s full name?
• What’s the name of the payee's bank representative? (optional)
• What’s the branch information for the payee's bank?
• What’s the payee’s social security number (SSN)?
• What’s the branch phone number?
• What’s the email address for the payee's bank representative?
• What’s the payee’s phone number?
• On what date is this form being completed?

The form includes 1 signature line.