Address: City, State, Zip: SIGNATURE. "Employer" or Nevada Payroll Services to debit my account for an amount not to exceed the original amount of the erroneous credit.Fill in the details for your new template. Include Source Account, Description, and default amounts for each recipient who should be included. This document will create a form for employees to fill out to create, cancel, or change their direct deposit. Download Nevada Direct Deposit Authorization template, modify and send for signing using BoloForms Signature. A direct deposit authorization form authorizes a third party, usually an employer for payroll, to send money to a bank account. You will need your six digit employee ID which is located on your pay stub to set up your account. Important Information Relating to Direct Deposit. 1. How do I sign up for Direct Deposit?