To sign up for Direct Deposit, read the back of this form and complete and sign Sections 1 and 2. Your bank's signed, official account verification document indicating your name, address, bank name and routing number, and account number.DIRECT DEPOSIT INFORMATION (fill in as necessary). Complete this form for each account into which you would like funds to be direct deposited. D) You must sign and date the authorization form. Print Name. Signature. Please complete the following information: Full Name: Phone Number: Email Address: Employee Number: Social Security Number: Date of Birth: Section 2. How do I enroll and sign Direct Deposit?