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For employers, benefits offices, or anyone who needs your bank details on file. Fill out the form, watch a live preview, and download your document as a print-ready PDF. We never store your bank details.

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Authorization

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Direct Deposit Authorization
This form authorizes the named organization to deposit funds electronically into the account holder's designated bank account.
SECTIONA
Account Holder Information
1  Full Name
2  Email Address(optional)
3  Street Address
4  City
5  State
6  ZIP Code
SECTIONB
Bank Account Details
7  Name of Financial Institution
8  Account Type
CheckingSavingsMoney Market
9  Routing Number (9 digits)
10  Account Number
SECTIONC
Organization & Authorization
11  Organization Name
The account holder authorizes the named organization to initiate direct deposit (credit) entries to the bank account specified above. This authorization remains in effect until the account holder provides written notice of revocation.
SECTIOND
Certification & Signature
By signing below, the account holder certifies that the information provided above is accurate and complete, and authorizes the direct deposit as described.
12  Signature
13  Printed Name
14  Date
May 20, 2026
Direct Deposit AuthorizationContains Personally Identifiable InformationPage 1 of 1

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  3. After payment

    • Print-ready PDF and JPG, emailed and downloadable instantly
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    • Hassle-free refund policy (see below)

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Watermarked sample of the direct deposit authorization form

Everything you see here — the formatting, the text, the layout — is exactly what your final document will look like. Only the inputted fields will be replaced with your details.

You can download a sample JPG to keep; the download is intentionally watermarked and slightly pixelated, but both your final PDF and JPG will be crisp and clean.

Refund policy

You’re covered if your delivered document doesn’t match the watermarked sample’s layout or formatting. Email [email protected] with the document attached, and we’ll get back within 2 business days with either a refund or an updated document — whichever you prefer.

We don’t typically cover typos or input mistakes — unless you catch us in a good mood.

What is a direct deposit authorization form?

A direct deposit authorization form is a signed document that instructs an employer, government agency, or other paying organization to deposit funds electronically into your bank account instead of issuing a paper check. The form identifies you by name and address, specifies your bank’s routing number and your account number, and includes your written authorization permitting the electronic transfer.

Most payroll departments, benefits offices, and financial institutions accept this form as the standard way to set up or change direct deposit. Some organizations also request a voided check alongside the form to independently verify your routing and account numbers — you can generate one on our voided check page.

Some organizations also request a voided check alongside this document. Generate a voided check →

When do you need this?

Starting a new job

Most employers ask for direct deposit details during onboarding. Provide your account info in the format payroll teams expect.

Switching banks

Moving to a new bank means rerouting your paycheck and recurring deposits. Submit a fresh authorization to your employer or benefits office.

Splitting your paycheck

Some employers let you send part of each check to checking and part to savings. Fill out one form per account.

Social Security or VA benefits

The SSA, VA, and other federal benefits programs require an authorization form to deposit payments directly into your bank.

IRS tax refunds

Filing your tax return with direct deposit gets your refund faster than waiting on a paper check. Use this form when your tax preparer or e-file software asks for routing details.

Pension or retirement income

Pension administrators and 401(k)/IRA custodians need written authorization before depositing distributions to your account.

Freelance and contract work

Clients and contractor portals (Upwork, agency platforms, etc.) often require an authorization form before paying you electronically.

Unemployment benefits

State unemployment offices use this form to send weekly benefits straight to your bank account instead of mailing a debit card.

Insurance and settlement payments

Insurance carriers and settlement administrators use authorization forms to wire claim payouts directly to your account.

Child support or court-ordered payments

Family law and probate offices route ordered payments via direct deposit when authorized — this form provides that authorization.

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Frequently asked questions

What are the common mistakes to avoid when filling out this form?
  • Using a deposit slip's account numberDeposit slips sometimes print a different internal number than the account number on your check. Always use the number from your check or the account summary in online banking — not from a deposit slip.
  • Mixing up ACH and wire transfer routing numbersAt some banks the ACH routing number differs from the wire transfer routing number. Direct deposit uses the ACH number. If in doubt, ask your bank which routing number is used for ACH direct deposit.
  • Choosing the wrong account typeChecking, savings, and money market accounts each have slightly different rules. Select the type your account actually is — your bank's statement or online banking confirms it.
  • Skipping the signatureMost employers and benefits offices will reject an unsigned form. Fill in the signature field, either by typing your name or by signing after printing.
  • Outdated employer detailsIf your employer has changed names, merged, or relocated, use their current legal name and address — the form is evidence of your authorization to a specific entity.
What is a direct deposit authorization form?

A direct deposit authorization form is a written document that gives an organization permission to electronically deposit funds into your bank account. It includes your name, address, bank routing number, account number, and your signed authorization. Employers, government agencies, and benefits providers use this form to route payments directly to your account instead of mailing paper checks.

Do I need a voided check along with this form?

Not always. Many organizations accept the authorization form by itself. However, some employers and benefits offices also request a voided check to independently verify your routing and account numbers. If you need one, you can generate a voided check instantly at mycheckpros.com.

How do I submit a direct deposit authorization form to my employer?

Print the PDF, sign it if you left the digital signature blank, and hand it to your HR or payroll department. Most employers also accept a scanned copy by email or an uploaded PDF through their payroll portal. Processing typically takes one to two pay cycles.

Is my banking information stored after I create the form?

No. Your bank account number, routing number, and other sensitive details are used only to generate and deliver your document. They are not stored permanently on our servers. We process the data in memory, generate your PDF, and discard the inputs.

What bank account types are supported?

The form supports checking accounts, savings accounts, and money market accounts at any US financial institution. You can search from over 5,000 banks in our database, and the form auto-populates your bank’s routing number and address.

Can I use this form for government benefit payments?

Yes. This direct deposit authorization form works for Social Security payments, VA benefits, IRS tax refunds, state unemployment benefits, and other government disbursements. The form follows the standard authorization format accepted by federal and state agencies.

How much does the direct deposit form cost?

$9 one-time payment. There is no subscription, no account required, and no recurring charges. You receive an instant PDF download, a JPG image, and an emailed copy of your completed form.

Is this form a legal document?

This form is not a legal contract. It is a standardized document template that puts your direct deposit authorization in writing, formalizing your intent to receive electronic payments. My Check Pros provides the document format; the authorization itself comes from you, the account holder. Your employer or paying organization determines their own acceptance criteria.

Key terms

Routing number
The 9-digit code that identifies a bank in the US banking system. Printed at the bottom of your check, on the left.
Account number
Your specific account identifier within your bank. Printed at the bottom of your check, to the right of the routing number.
ACH (Automated Clearing House)
The electronic network that processes direct deposits, direct debits, and most recurring payments in the US.
Direct deposit
The electronic transfer of funds directly into a bank account, replacing paper checks.
Pay period
The interval over which your wages are calculated and deposited — typically weekly, biweekly, semimonthly, or monthly.
Authorization
Your written permission for an organization to deposit funds into your account. This form IS the authorization.

My Check Pros is a document generation tool and is not affiliated with, endorsed by, or in any way officially connected with any financial institutions mentioned. Read our disclaimer.

My Check Pros is owned and operated by Miruvor, an independent studio based in Washington, D.C., focused on researching and building in the payments, fintech and agentic AI space.