* Full Name On Bank or Card Account:

Tech ID:

* Full Name of Financial Institution (name of the bank):

* Routing Number (must be 9 digits):
* Confirmation of Routing Number:

* Account Number:
* Confirmation of Account Number:

*Authorized Signature of Contract Worker (Primary):

Authorized Electronic Signature (If Joint Account):
My Electronic Signature Above Verifies That All The Information Submitted is True and Accurate.
I Understand and Agree To The Terms of  Payment of  My Wages With The Submission of  My Electronic Signature 
Date:
Update Direct Deposit Agreement Form

This is a replacement form for the direct deposit agreement. Do not fill out this unless you are updating your information. This is not part of the new hire packet.

I hereby authorize Assembly Technicians Unlimited to initiate automatic deposits to my account at the financial institution named below. I also authorize Assembly Technicians Unlimited to make withdrawals from this account in the event that a credit entry is made in error.

Further, I agree not to hold Assembly Technicians Unlimited responsible for any delay or loss of funds due to incorrect or incomplete information supplied by me or by my financial institution or due to an error on the part of my financial institution in depositing funds to my account.

This agreement will remain in effect until Assembly Technicians Unlimited receives a written notice of cancellation from me or my financial institution, or until I submit a new direct deposit form to the Payroll Department.
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ASSEMBLY TECHNICIANS UNLIMITED