How to Complete This Form. This form is fillable.If you would like to begin Direct Deposit or modify how your funds are distributed, you must complete Form AC 2772 with your banking information. In signing this form,. To enroll in direct deposit or add an account, place a check mark in the account type (checking or savings)and in the "New or Additional" column. How do I fill this out? Direct deposit is now an available option for the receipt of injured workers' compensation and death benefits. This functionality allows NYS employees to enroll in direct deposit and update their existing direct deposit and bank account information.