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Home/Templates/Onboarding & HR policies/Direct deposit authorization
Signable template

Direct deposit authorization

Authorizes the company to deposit pay into a nominated bank account, with a clear procedure for changing accounts and stopping the authorization.

  • Made forEmployers
  • Reading time~1 min
  • What's includedFillable fields, signature blocks, and e-signature delivery through Diiirect.
Use this templateSign in or create a free account to customize and send for e-signature.

The template

This authorization lets Company name deposit your pay directly into the account you nominate below. It stays in effect until you change or cancel it in writing.

1. Your details

Full name: Employee full name Role or team: Role or team

2. Account details

Bank name: Bank name Account holder name: Account holder name Account number or IBAN: Account number Routing, SWIFT, or clearing code: Routing or SWIFT code Account type: Account type Currency: Account currency

3. What you authorize

  1. The company may deposit salary, reimbursements, and other amounts owed to you into the account above.
  2. If an amount is deposited in error, the company may correct the error by reversing or adjusting the deposit, and will tell you when it does.
  3. The company will treat these details as confidential payroll information and share them only with the payment providers that process the deposit.

4. Changing or cancelling

  1. To change accounts, submit a new authorization form. Allow one full pay cycle for the change to take effect.
  2. You may cancel this authorization in writing at any time; the company will then pay you by an agreed alternative method.
  3. Keep your account open until the first deposit to the new account arrives.

Signatures

I confirm the account details above are correct and authorize deposits as described.

Signature: ✍ Employee signature Date: Signature date

Highlighted fields are filled in when you customize and send this document on Diiirect.

Not legal advice

This template is provided for general informational purposes only and is not legal advice. Laws differ by jurisdiction and change over time — have a qualified professional review any document before you rely on it.

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