Fluent Forms Template Library

Direct Deposit Form Template

Automate your payroll setup with this professional direct deposit form with account verification uploads.

Direct Deposit Form

Direct Deposit Form (#609)

Employee Information


Payment Information


Please attach one of the following for verification of bank routing number and account number: 

  • Voided Check
  • Bank letter which includes your name, bank routing number and account number
  • A recent monthly statement from your checking account

Note: Please contact Payroll 10 days prior to the pay date with any bank account changes to ensure accurate processing.

Terms and Conditions


Sign Here

About this template...

This direct deposit form helps HR & payroll departments collect employee banking information and set up automated salary deposits in a secure, compliant, & streamlined way. Whether you’re onboarding new hires or transitioning employees from paper checks to direct deposit, this form captures all the necessary details to process payroll accurately & efficiently.

Employees provide their personal information, including first name, last name, employee ID, email, and phone number, for accurate identification and communication. The payment information section collects bank name, account number, routing number, and account type (checking, savings, or other), ensuring deposits reach the correct account every pay period.

A file upload field allows employees to attach verification documents like a voided check, bank letter, or recent statement, reducing errors and preventing payment delays. A helpful note reminds employees to notify payroll at least 10 days before payday when making bank account changes, keeping the process smooth and predictable.

The form wraps up with a clear terms and conditions statement where employees authorize the company to deposit funds directly into their account. A digital signature field and date stamp provide legal documentation of consent. 

Ready to import and fully customizable, this template works for any organization managing payroll, corporations, nonprofits, schools, or small businesses. Simply adjust the notice period, verification requirements, and fields to match your payroll policies, and you’re good to go.

Direct Deposit Form

Features of this Template

  • A professional direct deposit authorization form you can import and customize in minutes.
  • Collects employee details including name, employee ID, email, and phone number.
  • Payment information section with bank name, account number, routing number, and account type.
  • Account type options including checking, savings, and other for flexibility.
  • File upload field for verification documents like voided checks, bank letters, or statements.
  • Built-in note reminding employees to notify payroll 10 days before payday for account changes.
  • Clear authorization statement for legal consent to direct deposit.
  • Digital signature field and date stamp for compliance and record-keeping.
  • Perfect for HR teams, payroll departments, and businesses of all sizes.
  • Easy to customize notice periods, verification requirements, and fields to match payroll policies.