In signing this form, I authorize my payment to be sent to the financial institution named above to be deposited to the designated account. Any incomplete or partially completed forms cannot be processed and may delay payment.If you have questions, please call NEON at 1-. Upon receipt of this notice, please set up my ______ Existing Direct Deposit ______ New Direct Deposit from. To my Dollar Bank account indicated below. Download a blank direct deposit template using the button above. DIRECTIONS. To sign up for Direct Deposit, the payee is to read the back of this form and fill in the information requested in Sections 1 and 2.