Directions: This is a sample form for illustration purposes only. 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.A direct deposit authorization form authorizes a third party, usually an employer for payroll, to send money to a bank account. Employee Direct Deposit Banking Authorization Form. In order to process a Payroll Direct Deposit request the employee must do the following: 1. Provide First and Last Name. 2. The form is where the employee gives you permission for direct deposit and provides the bank information that you'll need to send them money. This authorizes the financial institution holding the Account to post all such entries. Note: Enter your company name in the blank space above. To enroll in, change elections, or stop direct deposit complete the Direct Deposit Authorization Form​​.