Download a direct deposit form now! Complete this form, then print it, sign it and take it to your employer's payroll department to request direct deposit of your paycheck.Customer name. Address. You will need to supply the Bank's (in this case Chase's) routing number and your account number to the payor. There is no cost to enroll in the Chase Pay Card Plus program. Simply complete this application today and return it to your payroll department. Please feel free to give us a call at 520.887. Save Time with Direct Deposit. Get the proper form from your payroll department. This direct deposit form allows employees to have their paychecks deposited directly onto their prepaid debit cards.