Please provide a voided check for each account above. A deposit slip will not work.Fill in the details for your new template. Include Source Account, Description, and default amounts for each recipient who should be included. Address: City, State, Zip: SIGNATURE. This document will create a form for employees to fill out to create, cancel, or change their direct deposit. In order to process a Payroll Direct Deposit request the employee must do the following: 1. Provide First and Last Name. 2. Download Nevada Direct Deposit Authorization template, modify and send for signing using BoloForms Signature. How do I sign up for Direct Deposit?