Form Direct Deposit Authorization Direct Deposit Authorization Complete this form only if you have Employee Direct Deposits InstagramThis field is for validation purposes and should be left unchanged.Client Name(Required) First Last Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code AUTHORIZATION: This agreement is between America’s Payroll (“Agent”) and the above named employer (“Client”). Client authorizes Agent for the transfer of monies from the Client to those persons designated as “Payees”. Client will obtain directly from each participating payee and deliver to Agent necessary information in proper form authorizing Agent to perform such services. SETTLEMENT: Client agrees to have sufficient available and unrestricted funds in their bank account at least five business days prior to the date that the funds are expected to be deposited into the employee’s bank account(s). PERSONAL GUARANTEE: Client agrees to provide a form of security satisfactory to the Agent, which will guarantee the funds involved in the subject transaction. In addition to any security deposit(s) required by agent, the Client’s representative who executes this agreement below, hereby personally guarantees to cover any losses, of whatever nature, suffered by Agent as a result of this agreement. LIMITATION OF LIABILITY: Agent makes no warranties express or implied of fitness for any particular purpose. In no event will Agent be responsible for any incidental or consequential losses. Liability is limited to reimbursement of service charge fees and the return of any unused excess funds, if any. TERMINATION: This agreement may be terminated by either party upon two weeks written notice, however Agent retains the right to immediately terminate this agreement without notice in the event the Client does not maintain adequate funds to cover payroll.Client Title(Required)Client Date(Required) MM slash DD slash YYYY Signed for ClientName(Required) First Last Social Security Number(Required)Address(Required) Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Agent Title(Required)Agent Date(Required) MM slash DD slash YYYY Signed for Agent Find What You’re Looking ForForms Payroll Service AgreementAgreement for Professional Payroll Services View Form Bank AuthorizationAuthorize Americas Payroll to debit your bank account View Form Direct Deposit AuthorizationComplete this form only if you have Employee Direct Deposits View Form