Provide all information on the Direct Deposit Payment Authorization Form. c. Complete and sign the Payee Certification. d.Please note: We cannot accept Direct Deposit information for prepaid cards. Only a checking or savings account drawn on a bank will be accepted. This form authorizes the Early Learning Coalition of Hillsborough County to deposit payments directly into the bank account. Town of Hillsborough. Payroll Deduction and Direct Deposit Authorization Form. Just fill up the form below and attach a voided check for each account. Provide Social Security Number. 4. Please note all or part of each payroll check can be deposited directly into one or more bank accounts.